Individual
DR. ZACHARY LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6 ORIOLE AVE, MEDIA, PA 19063-4515
(610) 679-6109
Mailing address
610 E BROAD ST, SOUDERTON, PA 18964-1219
(201) 214-7089
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS043729
PA
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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