Lau Dental Group | |
1127 Wilshire Blvd Suite #1608 Los Angeles CA 90017-3901 | |
(213) 481-1100 | |
(213) 481-0998 |
Full Name | Lau Dental Group |
---|---|
Speciality | Dentist - General Practice |
Location | 1127 Wilshire Blvd, Los Angeles, California |
Authorized Official Name and Position | Carl S Lau (OWNER) |
Authorized Official Contact | 2134811100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lau Dental Group 1127 Wilshire Blvd Suite #1608 Los Angeles CA 90017-3901 Ph: (213) 481-1100 | Lau Dental Group 1127 Wilshire Blvd Suite #1608 Los Angeles CA 90017-3901 Ph: (213) 481-1100 |
NPI Number | 1003805649 |
---|---|
Provider Enumeration Date | 10/17/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003805649 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 24820 (California) | Secondary |
1223G0001X | Dentist - General Practice | 21320 (California) | Primary |
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