Individual
DR. ASHLEY JACQUELYN LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 326-1297
Mailing address
301 W CURTIS RD APT 7-208, SAVOY, IL 61874-9307
(415) 518-2487
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
018002246
IL
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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