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Individual
MATTHEW J LAU
Active
Individual
MATTHEW J LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
58875
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58875
CALIFORNIA DENTAL BOARD
CA
Enumeration date
10/13/2009
Last updated
03/31/2015
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