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David C Koo, DDS

Dentist in Arcadia, CA. Individual provider (NPI-1).

NPI number1720175300
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1720175300
Entity type
Individual (NPI-1)
Name
David C Koo
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Oct 6, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist35925CAYes

Practice location

111 E Live Oak Ave
Arcadia, CA 91006-5240

Phone 626-445-1181

Mailing address

111 E Live Oak Ave
Arcadia, CA 91006-5240

Phone 626-445-1181

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