Search › Pennsylvania › 1223G0001X
In Kook Park, DMD
NPI 1053485060 · on the registry since 2006
Practice
- Address
- 1732 Dekalb Pike
Blue Bell, PA 19422 - Phone
- (610) 278-1110
- Fax
- (610) 278-1852
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-10-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania