Provider Demographics
NPI:1003337130
Name:KO, HUA-HSIN (DMD)
Entity Type:Individual
Prefix:DR
First Name:HUA-HSIN
Middle Name:
Last Name:KO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 HAVERFORD PL
Mailing Address - Street 2:
Mailing Address - City:SWARTHMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19081-2010
Mailing Address - Country:US
Mailing Address - Phone:484-716-6678
Mailing Address - Fax:
Practice Address - Street 1:106 N ESSEX AVE STE C
Practice Address - Street 2:
Practice Address - City:NARBERTH
Practice Address - State:PA
Practice Address - Zip Code:19072-2233
Practice Address - Country:US
Practice Address - Phone:610-668-7750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-28
Last Update Date:2017-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS041386122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist