| 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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