DR. Bernice Tan Ko
NPI #1417174467 in Venice, California
Provider Information
- NPI Number
- 1417174467
- Entity Type
- Individual
- Name
- DR. Bernice Tan Ko
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Endodontics
- Enumeration Date
- Apr 19, 2007
- Last Updated
- Apr 28, 2022
Practice Location
- Address
- 323 LINCOLN BLVD
- City
- Venice
- State
- California
- ZIP Code
- 90291-2842
- Phone
- (310) 392-4103
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Endodontics — Endodontics |
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