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Heesoo Ko, DMD — NPI 1639200934, Dededo, GU | NPI Central

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NPI 1639200934

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Heesoo Ko, DMD

NPI 1639200934 · Pediatric Dentistry · Dededo, GU

Provider details

NPI number: 1639200934
Entity type: Individual
Primary specialty: Pediatric DentistryDental Providers
Credential: DMD
Sex: Male
Sole proprietor: No
License: D962 (GU)

Specialties & taxonomies

Pediatric DentistryPrimary1223P0221XLicense D962 (GU)
Dental Providers

Practice location

655 Harmon Loop Rd Ste 108

Dededo, GU 96929-6544

Phone: (671) 637-8334

Fax: (671) 637-0611

More GU providers

Mailing address

655 Harmon Loop Rd Ste 108

Dededo, GU 96929-6544

Registry dates

Enumerated: 2007-03-08
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.