Individual
DR. ANDREW LAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7600 DUBLIN BLVD, SUITE 105, DUBLIN, CA 94568-2909
(925) 833-8838
Mailing address
1045 STANISLAUS WAY, SANTA ROSA, CA 95401-7806
(707) 304-1921
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
63985
CA
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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