Organization
380 DENTAL CARE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK LAU DMD (OWNER)
(973) 402-0595
Entity
Organization
Contact information
Practice address
380 FAIRFIELD RD, FAIRFIELD, NJ 07004-1934
(973) 402-0595
(973) 808-1177
Mailing address
380 FAIRFIELD RD, FAIRFIELD, NJ 07004-1934
(973) 402-0595
(973) 808-1177
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
00000000
NJ
Enumeration date
06/14/2022
Last updated
06/14/2022
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