Provider Demographics
NPI:1336366855
Name:KHO, PATRICIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:
Last Name:KHO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:PATRICIA
Other - Middle Name:KHO
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:33915 1ST WAY S
Mailing Address - Street 2:SUITE #201
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-4551
Mailing Address - Country:US
Mailing Address - Phone:253-927-6411
Mailing Address - Fax:253-252-2804
Practice Address - Street 1:33915 1ST WAY S
Practice Address - Street 2:SUITE #201
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-4551
Practice Address - Country:US
Practice Address - Phone:253-927-6411
Practice Address - Fax:253-252-2804
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000086011223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics