Individual
DR. ALLEN MAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1117 W TOKAY ST, SUITE B, LODI, CA 95240-3844
(209) 334-9490
Mailing address
1117 W TOKAY ST, SUITE B, LODI, CA 95240-3844
(209) 334-9490
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
37703
CA
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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