Organization
RAYMOND K.L. LOO, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND K.L. LOO D.D.S. (PRESIDENT)
(808) 524-1102
Entity
Organization
Contact information
Practice address
848 S BERETANIA ST, SUITE 305, HONOLULU, HI 96813-2551
(808) 524-1102
Mailing address
848 S BERETANIA ST, SUITE 305, HONOLULU, HI 96813-2551
(808) 524-1102
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
910
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06700601
—
HI
Enumeration date
03/31/2010
Last updated
03/31/2010
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