Individual
JENNA Y LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5850 E STILL CIR, MESA, AZ 85206-3618
(480) 248-8100
Mailing address
5850 E STILL CIR, MESA, AZ 85206-3618
(480) 248-8100
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
11/07/2025
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