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Dr. Grant Shih Ming Lo, DDS
General Practice Dentistry in Enumclaw, Washington
NPI 1619030160

Grant Shih Ming Lo is a General Practice Dentistry based in Enumclaw, WA and is specialized in General Practice. Grant Shih Ming Lo practices in Enumclaw, WA and has the professional credentials of DDS. The NPI Number for Grant Shih Ming Lo is 1619030160 and holds a License No. 9058 (Washington).

The current practice location address for Grant Shih Ming Lo is 2617 Griffin Avenue, Enumclaw, WA and can be reached out via phone at 360-825-2191 and via fax at 360-825-1830.

Location: 2617 Griffin Avenue, Enumclaw, WA, 98022
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619030160
Provider Name
Grant Shih Ming Lo
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2617 Griffin Avenue, Enumclaw, WA, 98022
Phone Number
360-825-2191
Fax Number
360-825-1830
Provider Enumeration Date
12/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5043567 05 WA
institution
Provider Business Practice Location Address Details
Address
2617 Griffin Avenue
City
Enumclaw
State
Washington
Zip
98022
Phone Number
360-825-2191
Fax Number
360-825-1830
person
Provider Business Mailing Address Details
Address
2617 Griffin Avenue
City
Enumclaw
State
Washington
Zip
98022
Phone Number
360-825-2191
Fax Number
360-825-1830
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
9058 (Washington)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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