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1083916126
JEFFREY LO
BRONX, NY
NPI
1083916126
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: NY 1875751)
Enumeration Date
2010-11-22
Last Update Date
2010-11-22
Business Address
Dr. JEFFREY LO DDS
4422 3RD AVE
BRONX, NY 10457-2545
Phone number: 718-960-9000
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Mailing Address
Dr. JEFFREY LO DDS
30 W 18TH ST 7B
NEW YORK, NY 10011-4667
Phone number:
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