Provider Demographics
NPI:1164437554
Name:LAWRENCE KJ LOOK DDS INC
Entity Type:Organization
Organization Name:LAWRENCE KJ LOOK DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:KJ
Authorized Official - Last Name:LOOK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:415-956-3317
Mailing Address - Street 1:950 STOCKTON ST STE 400
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-1616
Mailing Address - Country:US
Mailing Address - Phone:415-956-3317
Mailing Address - Fax:
Practice Address - Street 1:950 STOCKTON ST STE 400
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-1616
Practice Address - Country:US
Practice Address - Phone:415-956-3317
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA259361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty