Howard Burton O Koon DMD

NPI 1093826208 - Dentist - 122300000X

NPI Details
NPI 1093826208
Gender Male
Enumeration Date 08/31/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4122 SHELBYVILLE RD
SUITE D
LOUISVILLE KY, 40207, US
Phone (502) 897-1571
Fax (502) 894-2270
Business Location
4122 SHELBYVILLE RD
SUITE D
LOUISVILLE KY, 40207, US
Phone (502) 897-1571
Fax (502) 894-2270
Toxanomy
Taxonomy Code 122300000X
License State Kentucky
License Number 3521
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According to our database, Dr. Howard Burton O Koon DMD NPI is 1093826208, taxonomy code is 122300000X and license number is 3521, license state is located at Kentucky. Howard Burton O Koon DMD physically located at 4122 Shelbyville Rd, Louisville KY, 40207. NPI Number Howard Burton O Koon DMD has the Individual type.

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1093826208 NPI number is provided on an as is basis without warranty of any kind. 1093826208 is maintained by the National Plan & Provider Enumeration System. The contents of Howard Burton O Koon DMD are for informational purposes only.