Koo, Samuel

Koo, Samuel is an individual health care provider with primary practice located at 386 Washington St , Wellesley Hills MA 02481-6213. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Koo, Samuel can be contacted via phone (781) 235-6710.

Contact Information

Primary practice address
386 Washington St Wellesley Hills MA 02481-6213
Phone: (781) 235-6710
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X DN1857917 Massachusetts

Profile Details

NPI number 1093912982
LBN Legal business name Koo, Samuel
Credentials DMD, MS, DMSC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2007
Last updated Oct 15th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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