Individual
DR. KENNETH U LAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
210 EAST WATER STREET, PENDLETON, IN 46064
(765) 778-3332
(765) 778-4860
Mailing address
210 EAST WATER STREET, PO BOX 206, PENDLETON, IN 46064
(765) 778-3332
(765) 778-4860
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7161
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000019629
ANTHEM
—
Enumeration date
10/03/2006
Last updated
08/11/2010
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