Provider Demographics
NPI:1437202744
Name:LAU, ERNEST YK (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:YK
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 1:333 ULUNIU ST
Mailing Address - Street 2:#203
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2516
Mailing Address - Country:US
Mailing Address - Phone:808-261-5211
Mailing Address - Fax:808-262-6875
Practice Address - Street 1:333 ULUNIU ST
Practice Address - Street 2:#203
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2516
Practice Address - Country:US
Practice Address - Phone:808-261-5211
Practice Address - Fax:808-262-6875
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT1041122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist