Provider Demographics
NPI:1558779579
Name:LAU, DAVID CHEUNG-FAI (DDS)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:CHEUNG-FAI
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:PO BOX 22332
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-0332
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:100 W EL CAMINO REAL STE 67
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-2649
Practice Address - Country:US
Practice Address - Phone:650-691-0999
Practice Address - Fax:650-691-0997
Is Sole Proprietor?:No
Enumeration Date:2014-07-23
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD100541223E0200X
CA625381223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics