Dental Board of California
Licensing details for: 57787
Name: LAU, LAWRENCE FU WAH
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MEADOWBROOK FAMILY DENTAL PRACTICE, DENTAL OFFICE OF DR. LAWRENCE
License/Registration Type: Fictitious Name Permit
License Number: 12312 Primary Status: Current - Active
Address :
8848 CALVINE ROAD, SUITE 120
ELK GROVE CA 95828
SACRAMENTO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: MEADOWBROOK FAMILY DENTAL PRACTICE, DENTAL OFFICE OF DR. LAWRENCE
License/Registration Type: Fictitious Name Permit
License Number: 12312 Primary Status: Current - Active
Address :
8848 CALVINE ROAD, SUITE 120
ELK GROVE CA 95828
SACRAMENTO COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: LAU, LAWRENCE FU WAH
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 3761 Primary Status: Current - Active
Address :
8848 Calvine Rd
120
SACRAMENTO CA 95828-9334
SACRAMENTO COUNTY
Registered Dental Hygienist Alternative Practice to Dentist
License/Registration Role: Dentist
Related Party Role: Registered Dental Hygienist Alternative Practice
Name: DAO-NGUYEN, JULIE
License/Registration Type: Registered Dental Hygienist Alternative Practice
License Number: 607 Primary Status: Current - Active
Address Not Disclosed
Registered Dental Hygienist Alternative Practice to Dentist
License/Registration Role: Dentist
Related Party Role: Registered Dental Hygienist Alternative Practice
Name: JOHNSTON, ANGELA GOEBEL
License/Registration Type: Registered Dental Hygienist Alternative Practice
License Number: 1130 Primary Status: Current - Active
Address Not Disclosed
