Individual
CORA CHIA-CHUAN LO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
13620 38TH AVE STE 6J, FLUSHING, NY 11354-4263
(718) 939-4734
(718) 939-4734
Mailing address
13620 38TH AVE STE 6J, FLUSHING, NY 11354-4263
(718) 939-4734
(718) 939-4734
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
054745
NY
1223E0200X
Endodontics
22DI023412
NJ
Other
Enumeration date
08/18/2008
Last updated
04/02/2010
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