Individual
DR. LALEE CHIALONG LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1452 HUDSON ST STE 200, LONGVIEW, WA 98632-3727
(360) 425-9090
Mailing address
3733 S 42ND PL, RIDGEFIELD, WA 98642-7672
(951) 312-4107
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D13932
MN
1223G0001X
General Practice Dentistry
Primary
DE61046855
WA
Other
Enumeration date
12/01/2017
Last updated
04/10/2024
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