Organization
JAYSON LO, D.M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYSON LO D.M.D. (PRESIDENT)
(650) 293-7722
Entity
Organization
Contact information
Practice address
341 WESTLAKE CTR, SUITE 301, DALY CITY, CA 94015-1441
(650) 293-7722
Mailing address
341 WESTLAKE CTR, SUITE 301, DALY CITY, CA 94015-1441
(650) 293-7722
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
57177
CA
Other
Enumeration date
04/06/2009
Last updated
04/06/2009
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