Individual
DR. AGNES LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
165 CAMBRIDGE ST, MGH DENTAL GROUP SUITE 401, BOSTON, MA 02114-2783
(617) 726-1076
(617) 724-6681
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16139
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0273074
—
MA
Enumeration date
10/28/2005
Last updated
09/26/2011
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