MEDICARE: ARTHUR P LAOS DDS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	32344	CA

General Provider Information

NPI Number	:	1801920681
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARTHUR P LAOS DDS INC

Provider Business Mailing Address
First Line	:	3532 HOWARD AVE
Second Line	:	220
City	:	LOS ALAMITOS
State	:	CA
Zip	:	90720-3681
Country	:	US
Telephone Number	:	562-596-7484
Fax Number	:

Provider Business Practice Location Address
First Line	:	3532 HOWARD AVE
Second Line	:	220
City	:	LOS ALAMITOS
State	:	CA
Zip	:	90720-3681
Country	:	US
Telephone Number	:	562-596-7484
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ARTHUR PHILLIP LAOS
Credential	:	DDS
Telephone Number	:	562-596-1484

Provider Enumeration Date	:	03/15/2007
Last Update Date	:	08/22/2020

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