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NPI 1629934179

NPI 1629934179 : ANDREW LAU DDS PLLC : WATERTOWN, MA

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General NPI Number Information
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    NPI Number           |    1629934179
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANDREW LAU DDS PLLC 
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Dates
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    Enumeration Date     |    12/29/2025
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    Last Update Date     |    12/29/2025
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Provider Practice Location Address
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    Address Line         |    148 MAIN ST 
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    City                 |    WATERTOWN
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    State                |    MA
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    Zip                  |    02472-4409
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    Country              |    US
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    Telephone            |    952-237-2178
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5 WORCESTER ST 
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    City                 |    BELMONT
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    State                |    MA
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    Zip                  |    02478-3757
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    Country              |    US
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    Telephone            |    952-237-2178
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ANDREW AHKWA LAU 
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    Credential           |    DDS
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    Telephone            |    952-237-2178
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    
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    License Number State |    
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