Matthew Lau, Dds Inc | |
2111 Whitehall Pl Ste C Alameda CA 94501-6160 | |
(510) 523-5323 | |
Not Available |
Full Name | Matthew Lau, Dds Inc |
---|---|
Speciality | Dentist |
Location | 2111 Whitehall Pl Ste C, Alameda, California |
Authorized Official Name and Position | Matthew Jin Lau (OWNER) |
Authorized Official Contact | 5108468556 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Matthew Lau, Dds Inc 2111 Whitehall Pl Ste C Alameda CA 94501-6160 Ph: (510) 523-5323 | Matthew Lau, Dds Inc 2111 Whitehall Pl Ste C Alameda CA 94501-6160 Ph: (510) 523-5323 |
NPI Number | 1942695457 |
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Provider Enumeration Date | 04/01/2015 |
Last Update Date | 04/01/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942695457 | NPI | - | NPPES |
1417282187 | Other | CA | INDIVIDUAL NPI |
58875 | Other | CA | DENTAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 58875 (California) | Primary |
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