Individual
DR. CHARLES LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
N6520 LUMBERJACK GUY RD, DEPT OF HEALTH, BLACK RIVER FALLS, WI 54615-5405
(715) 284-9851
Mailing address
N6520 LUMBERJACK GUY RD, DEPT OF HEALTH, BLACK RIVER FALLS, WI 54615-5405
(715) 284-9851
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6136
WI
1223P0300X
Periodontics
6136-15
WI
Other
Enumeration date
07/14/2006
Last updated
09/14/2012
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