Organization
HENRY LO DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY LO D.D.S. (PRESIDENT)
(323) 255-3039
Entity
Organization
Contact information
Practice address
6360 WILSHIRE BLVD, SUITE NUMBER 403, LOS ANGELES, CA 90048-5603
(323) 653-9440
(323) 653-3586
Mailing address
310 GLENULLEN DR, PASADENA, CA 91105-2100
(323) 255-3039
(323) 255-3039
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/26/2015
Last updated
06/16/2015
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