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General NPI Number Information
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NPI Number | 1760386544
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Entity Type | Organization
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Legal Business Name | COCO DENTAL2, PLLC
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 741 E DUNDEE RD
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-1542
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Country | US
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Telephone | 929-340-9390
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Fax |
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Provider Business Mailing Address
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Address Line | 741 E DUNDEE RD
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-1542
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | YOOSUK KO
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Credential |
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Telephone | 929-340-9390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State | NULL
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