Angela Lo, DMD
Dentist in Edison, NJ. Individual provider (NPI-1).
NPI number1699337139
StatusActive
Last updated in NPPESAug 30, 2020
Details
- NPI
- 1699337139
- Entity type
- Individual (NPI-1)
- Name
- Angela Lo
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 4, 2019
- Certification date
- Aug 30, 2020
- Last updated
- Aug 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 22DI02801300 | NJ | Yes |
| 122300000X | Dentist | 22DR03426 | NJ |
Practice location
65 James StEdison, NJ 08820-3903
Phone 732-321-7608
Mailing address
44 Bayberry ClosePiscataway, NJ 08854-5924
Phone 732-853-2701
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