Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. HEESOO KO, DMD
ActiveDR. HEESOO KO, DMD is a Pediatric Dentistry healthcare provider located in DEDEDO, Guam. NPI 1639200934 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · DEDEDO, GU
Registration Details
- NPI Number
- 1639200934
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 8, 2007 (19.394395892011 yrs)
- Last Updated
- Jul 8, 2007
- License
-
D962 (GU)
Practice Information
- Address
-
655 HARMON LOOP RD STE 108DEDEDO, GU, 969296544Browse GU providers · Browse ZIP 96929
- Phone
- 6716378334
- Fax
- 6716370611
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.