| Kevin Loo Dds, Ms A Professional Corporation | |
|
1480 S Harbor Blvd Suite 8 La Habra CA 90631-7534 | |
| (714) 578-5009 | |
| (714) 578-5097 |
| Full Name | Kevin Loo Dds, Ms A Professional Corporation |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1480 S Harbor Blvd, La Habra, California |
| Authorized Official Name and Position | Kevin Loo (PRESIDENT) |
| Authorized Official Contact | 7145785009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Loo Dds, Ms A Professional Corporation 1480 S Harbor Blvd Suite 8 La Habra CA 90631-7534 Ph: (714) 578-5009 | Kevin Loo Dds, Ms A Professional Corporation 1480 S Harbor Blvd Suite 8 La Habra CA 90631-7534 Ph: (714) 578-5009 |
| NPI Number | 1376652263 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376652263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 40371 (California) | Primary |
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