Whalio Doctors

NPI 1487901336

Mitchell Loo, DMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Henderson, NV

Practice location

Address
2835 Saint Rose Pkwy STE 100, Henderson, NV 89052-4847
Phone
(702) 900-4780
Mailing address
276 Bouret Pl, Henderson, NV 89012-3129

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence S2-199C (NV)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence S2-199C (NV)

Registry record

NPI
1487901336
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Aug 2012
Record last updated
1 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.