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Individual
DR. KATRINA LO
Active
Individual
DR. KATRINA LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
100288
CA
122300000X
Dentist
Primary
DE60900883
WA
1223G0001X
General Practice Dentistry
D11414
OR
Other
Enumeration date
07/20/2016
Last updated
07/20/2022
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