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General NPI Number Information
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NPI Number | 1790666170
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Entity Type | Organization
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Legal Business Name | HURD LAU DENTAL PARTNERS
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Dates
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Enumeration Date | 09/11/2025
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 2177 3RD ST UNIT C3
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City | SAN FRANCISCO
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State | CA
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Zip | 94107-3985
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Country | US
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Telephone | 415-376-5002
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 190565
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City | SAN FRANCISCO
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State | CA
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Zip | 94119-0565
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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 | PARTNER
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Name | JERRY LAU
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Credential | DDS
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Telephone | 415-376-5002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223D0004X
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Taxonomy Name | Dental Anesthesiology
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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