Lo, Susan D
Lo, Susan D is an individual health care provider with primary practice located at 10 Gove St , East Boston MA 02128-1920. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Lo, Susan D can be contacted via phone (617) 569-5800.Contact Information
Primary practice address
10 Gove St
East Boston MA 02128-1920
Phone: (617) 569-5800
Fax: (617) 568-4780
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 17369 | Massachusetts |
Profile Details
| NPI number | 1396764601 |
|---|---|
| LBN Legal business name | Lo, Susan D |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396764601 | NPPES |
| Massachusetts | MEDICAID | 0275204 |
Popular Providers
-
Nelson, Linda
300 Longwood Ave Hu 226, Boston MA 02115-5724 -
Edalatpour, Badrieh
68 New Edgerly Rd , Boston MA 02115-3503 -
Ross, Elizabeth
300 Longwood Ave Department Of Dentistry, Boston MA 02115-5724 -
Dehpanah, Mehrdad
930 Commonwealth Ave Boston University Dental Health Center, Boston MA 02215-1274 -
Anderson, Michelle J
10 Gove St , East Boston MA 02128-1920 -
Morell, Martiza
300 Longwood Ave Hu 226, Boston MA 02115-5724 -
Bang, Sungyon
300 Longwood Ave # Hu-226 Childrens Hospital Boston Dental Department, Boston MA 02115-5724 -
Chase, Isabelle Ingrid
300 Longwood Ave Hu 226, Boston MA 02115-5724