Samuel Koo DDS, MS

NPI 1093912982 - Dentist - 122300000X

NPI Details
NPI 1093912982
Gender Male
Enumeration Date 07/02/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
188 LONGWOOD AVE # 210
BOSTON MA, 02115-5819, US
Phone (617) 432-1461
Fax
Business Location
188 LONGWOOD AVE # 210
BOSTON MA, 02115-5819, US
Phone
Fax
Toxanomy
Taxonomy Code 122300000X
License State Massachusetts
License Number 9173
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According to our database, Dr. Samuel Koo DDS, MS NPI is 1093912982, taxonomy code is 122300000X and license number is 9173, license state is located at Massachusetts. Samuel Koo DDS, MS physically located at 188 Longwood Ave # 210, Boston MA, 02115-5819. NPI Number Samuel Koo DDS, MS has the Individual type.

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1093912982 NPI number is provided on an as is basis without warranty of any kind. 1093912982 is maintained by the National Plan & Provider Enumeration System. The contents of Samuel Koo DDS, MS are for informational purposes only.