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Individual
ANGELA LO
Active
Individual
ANGELA LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02801300
NJ
122300000X
Dentist
22DR03426
NJ
Other
Enumeration date
07/04/2019
Last updated
08/30/2020
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