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Individual
DR. JENNY LAU
Active
Individual
DR. JENNY LAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02769600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22DI02769600
NONE
NJ
Enumeration date
09/24/2019
Last updated
09/24/2019
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