Provider Demographics
NPI:1407074271
Name:KWOR CHIEH LOO DDS APC
Entity Type:Organization
Organization Name:KWOR CHIEH LOO DDS APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KWOR
Authorized Official - Middle Name:CHIEH
Authorized Official - Last Name:LOO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-475-7424
Mailing Address - Street 1:7201 PAINTER AVE
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90602-1451
Mailing Address - Country:US
Mailing Address - Phone:562-698-7925
Mailing Address - Fax:
Practice Address - Street 1:7201 PAINTER AVE
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602-1451
Practice Address - Country:US
Practice Address - Phone:562-698-7925
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA454891223E0200X
CA451401223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered1223E0200XDental ProvidersDentistEndodonticsGroup - Multi-Specialty
Not Answered1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty