Individual
DR. KATRINA LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
7107 NE VANCOUVER MALL DR STE D, VANCOUVER, WA 98661-8179
(360) 892-6555
(360) 892-4170
Mailing address
7107 NE VANCOUVER MALL DR STE D, VANCOUVER, WA 98661-8179
(360) 892-6555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
100288
CA
122300000X
Dentist
Primary
DE60900883
WA
1223G0001X
General Practice Dentistry
D11414
OR
Other
Enumeration date
07/20/2016
Last updated
07/20/2022
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