Organization
AC DENTAL PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA LO DDS (DENTIST)
(646) 247-7367
Entity
Organization
Contact information
Practice address
52 E BROADWAY # 7F, NEW YORK, NY 10002-6868
(646) 247-7367
Mailing address
52 E BROADWAY # 7F, NEW YORK, NY 10002-6868
(646) 247-7367
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
047068
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01751239
—
NY
Enumeration date
05/17/2007
Last updated
08/22/2020
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