Provider Demographics
NPI:1407066798
Name:LAU, SUK YING TERESA (DDS)
Entity Type:Individual
Prefix:DR
First Name:SUK YING TERESA
Middle Name:
Last Name:LAU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 N GARFIELD AVE STE 203D
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-1746
Mailing Address - Country:US
Mailing Address - Phone:626-307-5201
Mailing Address - Fax:626-307-5209
Practice Address - Street 1:210 N GARFIELD AVE STE 203D
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-1746
Practice Address - Country:US
Practice Address - Phone:626-307-5201
Practice Address - Fax:626-307-5209
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA549151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice