Hayeon Koo
Hayeon Koo is a General Practice Dentistry in Fort Lee, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.
- Licensed in
- NJ
- In the registry since
- 2018
Practice location Address checks out
1315 Anderson Ave Ste AFort Lee, NJ 07024-1732
Phone: (013) 059-8082
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Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 22DI027668800 (NJ) |
|---|
Record details
| NPI number | 1326545377 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 6, 2018 |
| Last updated in NPPES | January 14, 2020 |
| Certification date | January 14, 2020 |
| Mailing address | 1315 Anderson Ave Ste A, Fort Lee, NJ 07024-1732 |
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