Individual
DR. VIVIEN LAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2226 OTAY LAKES RD STE AANDB, CHULA VISTA, CA 91915-1000
(619) 336-8478
Mailing address
3771 SHINING STAR DR, SACRAMENTO, CA 95823-6227
(310) 467-1391
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
60380
CA
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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