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Individual

DR. BRIAN KW LAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DENTIST

Contact information

Practice address
803 KAMEHAMEHA HWY, #300, PEARL CITY, HI 96782-2638
(808) 456-8552
(808) 456-2622
Mailing address
803 KAMEHAMEHA HWY, SUITE 300, PEARL CITY, HI 96782-2638
(808) 456-8552
(808) 456-2622

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1324
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01798401
HI
01
132401
HAWAII DENTAL SERVICE
HI
01
193301
HMSA
HI
Enumeration date
08/31/2006
Last updated
07/08/2007
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