Provider Demographics
NPI:1275727349
Name:LO, HUILING (DDS)
Entity Type:Individual
Prefix:DR
First Name:HUILING
Middle Name:
Last Name:LO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2215 INDIAN CREEK RD
Mailing Address - Street 2:
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91765-3348
Mailing Address - Country:US
Mailing Address - Phone:626-576-1049
Mailing Address - Fax:
Practice Address - Street 1:401 S AZUSA AVE # A
Practice Address - Street 2:
Practice Address - City:LA PUENTE
Practice Address - State:CA
Practice Address - Zip Code:91744-5111
Practice Address - Country:US
Practice Address - Phone:626-810-8222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-31
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA56181122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist