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1417174467
BERNICE TAN KO
VENICE, CA
NPI
1417174467
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223E0200X Dentist, Endodontics
(Licence: CA 40163)
Enumeration Date
2007-04-19
Last Update Date
2022-04-28
Business Address
Dr. BERNICE TAN KO
323 LINCOLN BLVD
VENICE, CA 90291-2842
Phone number: 310-392-4103
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Mailing Address
Dr. BERNICE TAN KO
10317 MISSOURI AVE #1
LOS ANGELES, CA 90025-5080
Phone number: 310-557-2712
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