Lau, Agnes

Lau, Agnes is an individual health care provider with primary practice located at 165 Cambridge St Mgh Dental Group Suite 401, Boston MA 02114-2783. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Lau, Agnes can be contacted via phone (617) 726-1076.

Contact Information

Primary practice address
165 Cambridge St Mgh Dental Group Suite 401 Boston MA 02114-2783
Fax: (617) 724-6681
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 16139 Massachusetts

Profile Details

NPI number 1780675819
LBN Legal business name Lau, Agnes
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Sep 26th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780675819 NPPES
Massachusetts MEDICAID 0273074

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