Ko Dental Group, PC

NPI #1053911396 in Clifton, Texas

Provider Information

NPI Number: 1053911396
Entity Type: Organization
Organization Name: Ko Dental Group, PC
Primary Specialty: Dentist
Enumeration Date: Oct 27, 2020
Last Updated: Jul 21, 2022

Practice Location

Address: 302 S. AVENUE Q
City: Clifton
State: Texas
ZIP Code: 76634
Phone: (254) 675-3518

Authorized Official

Name: LYNDA MARLIESSA CLARK
Title: AM
Phone: (254) 784-0508

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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