Provider Demographics
NPI:1013212901
Name:LAU, RICHARD KAI HONG (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:KAI HONG
Last Name:LAU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20210 BARNARD AVE
Mailing Address - Street 2:
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91789-2411
Mailing Address - Country:US
Mailing Address - Phone:626-512-3152
Mailing Address - Fax:
Practice Address - Street 1:1430 S ATLANTIC BLVD
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91803-3101
Practice Address - Country:US
Practice Address - Phone:626-576-7797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-24
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53617122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist