NPI | 1649423161 |
---|---|
Other Name | JEN-HUNG LO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0300X Dentist Periodontics (Licence: CA 60263) |
Additional Taxonomies | 122300000X Dentist (Licence: NY 054062) |
Enumeration Date | 2008-10-28 |
Last Update Date | 2022-03-01 |