Provider Demographics
NPI:1275298937
Name:MEI-HSUAN KO DDS., MS., PLLC.
Entity Type:Organization
Organization Name:MEI-HSUAN KO DDS., MS., PLLC.
Other - Org Name:DR. MICHELLE KO, DDS MS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:MEI-HSUAN
Authorized Official - Last Name:KO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:206-474-7394
Mailing Address - Street 1:12826 SE 40TH LN STE 102
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-5266
Mailing Address - Country:US
Mailing Address - Phone:425-877-1423
Mailing Address - Fax:
Practice Address - Street 1:12826 SE 40TH LN STE 102
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006-5266
Practice Address - Country:US
Practice Address - Phone:425-877-1423
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-07
Last Update Date:2021-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty