Charles T. Loo, D.M.D., M.S.D. Valid NPI

Individual provider · Endodontics · Ridgewood, NJ

NPI

1902986136

Type

Individual (Type 1)

Primary specialty

Endodontics (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223E0200X

License number

13408 (NJ)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-10-16

Last updated

2007-07-08