Provider Demographics
NPI:1871194175
Name:LAWRENCE G. LOW DDS & KENNETH Y.K. LI DDS
Entity Type:Organization
Organization Name:LAWRENCE G. LOW DDS & KENNETH Y.K. LI DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOW
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:909-792-9217
Mailing Address - Street 1:229 CAJON ST STE 3
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-5284
Mailing Address - Country:US
Mailing Address - Phone:909-792-9217
Mailing Address - Fax:
Practice Address - Street 1:229 CAJON ST STE 3
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-5284
Practice Address - Country:US
Practice Address - Phone:909-792-9217
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-03
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty