SONG HOE KOO NPI 1598924292

NPI Information

Song Hoe Koo is a periodontics dentist in Diamond Bar, CA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. Song Hoe Koo NPI is 1598924292. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2040 S BREA CANYON RD
STE #210
DIAMOND BAR, CA
ZIP 91765
Phone: (909) 396-0077
Fax: (909) 396-0071

The enumeration date for this NPI number is 6/6/2008 and was last updated on 9/26/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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