Organization
CHARLENE LAU DDS PLLC
Active
Other names
Jackson Heights Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLENE S LAU DDS (OWNER)
(718) 898-0300
Entity
Organization
Contact information
Practice address
35-60 74TH STREET, #103, JACKSON HEIGHTS, NY 11372-4316
(718) 898-0300
(718) 478-1123
Mailing address
35-60 74TH STREET, #103, JACKSON HEIGHTS, NY 11372-4316
(718) 898-0300
(718) 478-1123
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
045627
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01607478
—
NY
Enumeration date
03/22/2008
Last updated
03/13/2009
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