Individual
JENNA Y LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
635 E BASELINE RD, PHOENIX, AZ 85042-6583
(602) 243-7277
Mailing address
635 E BASELINE RD, PHOENIX, AZ 85042-6583
(602) 243-7277
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
63747
CA
1223G0001X
General Practice Dentistry
Primary
D011262
AZ
Other
Enumeration date
03/11/2013
Last updated
06/29/2026
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