Individual
DR. HENRY HUNG CHEE LO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6360 WILSHIRE BLVD, STE. 403, LOS ANGELES, CA 90048-5603
(323) 653-9440
(323) 653-3586
Mailing address
310 GLENULLEN DR, PASADENA, CA 91105-2100
(323) 255-3039
(323) 255-3039
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
35422
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35422
—
CA
Enumeration date
01/31/2007
Last updated
08/11/2007
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