Provider Demographics
NPI:1033255187
Name:AU, ANDREW (DDS)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:AU
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:2345 YALE ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-1448
Mailing Address - Country:US
Mailing Address - Phone:650-328-3388
Mailing Address - Fax:650-351-6498
Practice Address - Street 1:2345 YALE ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-1448
Practice Address - Country:US
Practice Address - Phone:650-328-3388
Practice Address - Fax:650-351-6498
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2013-03-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA2269501223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics