Organization
KEVIN LOO DDS, MS A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN LOO DDS (PRESIDENT)
(714) 578-5009
Entity
Organization
Contact information
Practice address
1480 S HARBOR BLVD, SUITE 8, LA HABRA, CA 90631-7534
(714) 578-5009
(714) 578-5097
Mailing address
1480 S HARBOR BLVD, SUITE 8, LA HABRA, CA 90631-7534
(714) 578-5009
(714) 578-5097
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
40371
CA
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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