Provider Demographics
NPI:1972701621
Name:CHIH-MING KO,D.M.D. AND PO-HSI WU,D.M.D.,P.C.
Entity Type:Organization
Organization Name:CHIH-MING KO,D.M.D. AND PO-HSI WU,D.M.D.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:PO-HSI
Authorized Official - Middle Name:
Authorized Official - Last Name:WU
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:978-439-0155
Mailing Address - Street 1:199 BOSTON RD
Mailing Address - Street 2:
Mailing Address - City:NORTH BILLERICA
Mailing Address - State:MA
Mailing Address - Zip Code:01862-2328
Mailing Address - Country:US
Mailing Address - Phone:978-439-0155
Mailing Address - Fax:978-439-0417
Practice Address - Street 1:199 BOSTON RD
Practice Address - Street 2:
Practice Address - City:NORTH BILLERICA
Practice Address - State:MA
Practice Address - Zip Code:01862-2328
Practice Address - Country:US
Practice Address - Phone:978-439-0155
Practice Address - Fax:978-439-0417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA186381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty