Whalio Doctors

NPI 1639200934

Heesoo Ko, DMD

Practitioner Pediatric Dentistry Dededo, GU

Practice location

Address
655 Harmon Loop Rd STE 108, Dededo, GU 96929-6544
Phone
(671) 637-8334
Fax
(671) 637-0611

Registered specialties

Pediatric Dentistry Primary
Dental Providers Taxonomy 1223P0221X Licence D962 (GU)

Registry record

NPI
1639200934
Entity type
Individual
Sex (as registered)
Male
NPI issued
8 Mar 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.