Provider Demographics
NPI:1821277674
Name:KHOO, ANTHONY KWOK HUNG (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:KWOK HUNG
Last Name:KHOO
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 1:29522 6 MILE RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-4557
Mailing Address - Country:US
Mailing Address - Phone:734-425-7888
Mailing Address - Fax:734-425-6662
Practice Address - Street 1:29522 6 MILE RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-4557
Practice Address - Country:US
Practice Address - Phone:734-425-7888
Practice Address - Fax:734-425-6662
Is Sole Proprietor?:No
Enumeration Date:2007-10-29
Last Update Date:2007-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901019592122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist