Individual
JESSICA ANN LAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
706 S KROEGER ST, ANAHEIM, CA 92805-4762
(949) 338-6456
Mailing address
706 S KROEGER ST, ANAHEIM, CA 92805-4762
(949) 338-6456
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
24836
CA
Other
Enumeration date
06/09/2010
Last updated
06/09/2010
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