DR. Grant Shih Ming Lo, DDS
NPI #1619030160 in Enumclaw, Washington
Provider Information
- NPI Number
- 1619030160
- Entity Type
- Individual
- Name
- DR. Grant Shih Ming Lo, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Dec 18, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2617 GRIFFIN AVENUE
- City
- Enumclaw
- State
- Washington
- ZIP Code
- 98022
- Phone
- (360) 825-2191
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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