Individual
CHIA-YIN LO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHIA-YIN LO
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(202) 521-6703
Mailing address
4005 WASATCH LN, GOLDEN VALLEY, MN 55422-4231
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D12248
MN
1223G0001X
General Practice Dentistry
Primary
D12248
MN
Other
Enumeration date
07/16/2008
Last updated
05/05/2025
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