Individual
DR. JOHN C LO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
7609 STEILACOOM BLVD SW, SUITE 100, LAKEWOOD, WA 98498-6199
(253) 584-3333
(253) 589-2556
Mailing address
7609 STEILACOOM BLVD SW, SUITE 100, LAKEWOOD, WA 98498-6199
(253) 584-3333
(253) 589-2556
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7800
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
779281
UNITED CONCORDIA
—
Enumeration date
09/29/2008
Last updated
09/29/2008
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