Provider Demographics
NPI:1265767891
Name:ERNEST Y.K. LAU DDS INC.
Entity type:Organization
Organization Name:ERNEST Y.K. LAU DDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:YK
Authorized Official - Last Name:LAU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:808-261-5211
Mailing Address - Street 1:333 ULUNIU ST STE 203
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2525
Mailing Address - Country:US
Mailing Address - Phone:808-261-5211
Mailing Address - Fax:808-262-6875
Practice Address - Street 1:333 ULUNIU ST STE 203
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2525
Practice Address - Country:US
Practice Address - Phone:808-261-5211
Practice Address - Fax:808-262-6875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-15
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1041122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty