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General NPI Number Information
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NPI Number | 1326403544
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Entity Type | Organization
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Legal Business Name | LAWRENCE LAU, DMD, PC
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Dates
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Enumeration Date | 12/16/2015
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Last Update Date | 12/16/2015
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Provider Practice Location Address
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Address Line | 8848 CALVINE RD SUITE 120
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City | SACRAMENTO
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State | CA
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Zip | 95828-9334
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Country | US
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Telephone | 916-307-6035
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Fax |
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Provider Business Mailing Address
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Address Line | 8848 CALVINE RD SUITE 120
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City | SACRAMENTO
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State | CA
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Zip | 95828-9334
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LAWRENCE LAU
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Credential | DMD
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Telephone | 916-307-6035
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 57787
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License Number State | CA
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