Individual provider · Type 1 NPI

Susan Shan So Ko, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Palo Alto, CA

NPI number 1902943582 Active

Practice location

905 Middlefield Rd
Palo Alto, CA 94301-3339

Call (650) 327-2310 Map

Mailing address

10317 Finch Ave
Cupertino, CA 95014-3412

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	51872 (CA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1902943582

Susan Shan So Ko, DMD's National Provider Identifier is 1902943582, issued on Jan 31, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Palo Alto, CA. The record was last updated on Jul 8, 2007.