Marissa Fang Ku, DDS
NPI #1568848174 in Monterey Park, California
Provider Information
- NPI Number
- 1568848174
- Entity Type
- Individual
- Name
- Marissa Fang Ku, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Aug 5, 2015
- Last Updated
- May 4, 2016
Practice Location
- Address
- 616 N GARFIELD AVE STE 102
- City
- Monterey Park
- State
- California
- ZIP Code
- 91754-1153
- Phone
- (626) 288-0208
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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