Individual
NATHAN LO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
375 N STEPHANIE ST STE 611, HENDERSON, NV 89014-8782
(702) 803-1825
Mailing address
526 STOWELL AVE, LAS VEGAS, NV 89138-4776
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
S6-207
NV
Other
Enumeration date
06/17/2019
Last updated
08/11/2025
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