Organization
MID VALLEY DENTAL CARE-NORTHRIDGE
Active
Other names
MID-VALLEY DENTAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERENCE KIEN-WA LAU D.D.S (OWNER / PARTNER)
(818) 886-3500
Entity
Organization
Contact information
Practice address
19331 BUSINESS CENTER DRIVE, SUITE 101, NORTHRIDGE, CA 91324
(818) 886-3500
(818) 886-1733
Mailing address
19331 BUSINESS CENTER DRIVE, SUITE 101, NORTHRIDGE, CA 91324
(818) 886-3500
(818) 886-1733
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
07/30/2007
Last updated
08/21/2024
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