Dr. Gordon Lau, D.D.S.
Dentist, General Practice in Glendale, CA. Individual provider (NPI-1).
NPI number1457482002
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1457482002
- Entity type
- Individual (NPI-1)
- Name
- Dr. Gordon Lau
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 7, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 30577 | CA | Yes |
Practice location
146 N Brand BlvdGlendale, CA 91203-2602
Phone 818-502-1999 · Fax 818-502-2027
Mailing address
146 N Brand BlvdGlendale, CA 91203-2602
Phone 818-502-1999 · Fax 818-502-2027
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