SearchWashington1223G0001X

Shane Koo, DMD

NPI 1790669406 · on the registry since 2025 · sole proprietor

Practice

Address
9900 Lincoln St 2nd Floor
Tacoma, WA 98431
Phone
(253) 968-4079
Clinicians at this address
22

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-08-05

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 Washington