Healthcare Provider Details

I. General information

NPI: 1902711054
Provider Name (Legal Business Name): HARMONY LOO DENTAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4708 N GRAND AVE
COVINA CA
91724
US

IV. Provider business mailing address

4708 N GRAND AVE
COVINA CA
91724
US

V. Phone/Fax

Practice location:
  • Phone: 626-257-3312
  • Fax:
Mailing address:
  • Phone: 626-257-3312
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: MILAGROS A LOO
Title or Position: PRESIDENT-DENTIST
Credential: DDS
Phone: 626-257-3312