Individual provider · Type 1 NPI

Grant Shih Ming Lo, DDS

General Practice Dentistry · Enumclaw, WA

NPI number 1619030160 Active

About NPI 1619030160

Grant Shih Ming Lo, DDS's National Provider Identifier is 1619030160, issued on Dec 18, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Enumclaw, WA. The record was last updated on Jul 8, 2007.