Individual
DR. CHARLES T. LOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.D.
Contact information
Practice address
1200 E RIDGEWOOD AVE, RIDGEWOOD, NJ 07450-3957
(201) 447-4404
Mailing address
1200 E RIDGEWOOD AVE, RIDGEWOOD, NJ 07450-3957
(201) 447-4404
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
13408
NJ
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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