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Individual

KEVIN LOU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
283 BROAD ST, NASHUA, NH 03063-3160
(603) 882-7312
Mailing address
107 S RIVER RD APT 414, BEDFORD, NH 03110-6785
(770) 864-6098

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
04743
NH
1223G0001X
General Practice Dentistry
Primary
1859374
MA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/12/2022
Last updated
10/25/2022
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