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Individual

DR. CLARENCE KWOK-LIANG AU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2007 17TH ST, BAKERSFIELD, CA 93301-4203
(661) 631-1113
(661) 631-1116
Mailing address
8604 CHAUMONT CT, BAKERSFIELD, CA 93311-1502
(661) 665-9140
(661) 631-1116

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
34463
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
34463
STATE LICENSE
CA
01
G93989-01
DENTI-CAL PROVIDER NUMBER
CA
Enumeration date
02/22/2007
Last updated
07/08/2007
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