Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deukwon Jo

Individual provider General Practice Dentistry · NPI 1730999442

Deukwon Jo is a General Practice Dentistry in Los Angeles, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

714 Tiverton Avenue Chs 30-129
Los Angeles, CA 90095
Phone: (310) 825-9295
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 110978 (CA)

Record details

NPI number1730999442
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 14, 2025
Last updated in NPPESJanuary 14, 2025
Certification dateJanuary 14, 2025

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