Samuel Koo, D.m.d., P.c.

NPI #1588132450 in Wellesley Hills, Massachusetts

Provider Information

NPI Number: 1588132450
Entity Type: Organization
Organization Name: Samuel Koo, D.m.d., P.c.
Primary Specialty: Dentist - Periodontics
Enumeration Date: Nov 8, 2018
Last Updated: Nov 8, 2018

Practice Location

Address: 386 WASHINGTON ST
City: Wellesley Hills
State: Massachusetts
ZIP Code: 02481-6213
Phone: (781) 235-6710

Authorized Official

Name: DR. SAMUEL KOO, DMD
Title: PRESIDENT
Phone: (617) 223-7750

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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