Organization
JONATHAN LO D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN H LO D.D.S. (OWNER - PEDIATRIC DENTIST)
(310) 377-4551
Entity
Organization
Contact information
Practice address
550 DEEP VALLEY DR, SUITE 345, ROLLING HILLS ESTATES, CA 90274-3664
(310) 377-4551
(310) 541-6042
Mailing address
550 DEEP VALLEY DR, SUITE 345, ROLLING HILLS ESTATES, CA 90274-3664
(310) 377-4551
(310) 541-6042
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
54926
CA
Other
Enumeration date
02/03/2011
Last updated
02/03/2011
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