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NPI Code Detail

MEDICARE: DR. CATHERINE JYNGWAN LAU DDS

MEDICARE:  DR. CATHERINE JYNGWAN LAU  DDS
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
11223G0001XGeneral Practice Dentistry60520CA

General Provider Information

NPI Number : 1194169904
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CATHERINE JYNGWAN LAU DDS
Provider Business Mailing Address
First Line : 7982 AMADOR VALLEY BLVD
Second Line :
City : DUBLIN
State : CA
Zip : 94568-2308
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7982 AMADOR VALLEY BLVD
Second Line :
City : DUBLIN
State : CA
Zip : 94568-2308
Country : US
Telephone Number : 510-364-4857
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2013
Last Update Date : 07/23/2013

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Directions to “ DR. CATHERINE JYNGWAN LAU DDS” Practice Location

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