Individual
DR. MITCHELL LOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2835 SAINT ROSE PKWY STE 100, HENDERSON, NV 89052-4847
(702) 900-4780
Mailing address
276 BOURET PL, HENDERSON, NV 89012-3129
(857) 588-2085
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
S2-199C
NV
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
S2-199C
NV
Other
Enumeration date
08/10/2012
Last updated
10/01/2024
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