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
Phone: (617) 726-1076
Fax: (617) 724-6681
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780675819 | NPPES |
| Massachusetts | MEDICAID | 0273074 |
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