Diane Ko, D.M.D.
NPI #1205245685 in Perryville, Missouri
Provider Information
- NPI Number
- 1205245685
- Entity Type
- Individual
- Name
- Diane Ko, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- D.M.D.
- Enumeration Date
- Aug 11, 2014
- Last Updated
- Aug 18, 2015
Practice Location
- Address
- 1314 BRENDA AVE
- City
- Perryville
- State
- Missouri
- ZIP Code
- 63775-2303
- Phone
- (573) 517-0405
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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