Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 226950 | CA |
NPI | 1033255187 |
---|---|
Provider Name | Andrew Au |
First Address | Palo Alto, CA 94306-1448 |
Second Address | Palo Alto, CA 94306-1448 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2007 |
Last Update Date | 26/03/2013 |