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Licensing details for: 12312

Name: MEADOWBROOK FAMILY DENTAL PRACTICE, DENTAL OFFICE OF DR. LAWRENCE

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: MEADOWBROOK FAMILY DENTAL, PC

Address of Record

8848 CALVINE ROAD, SUITE 120
ELK GROVE CA 95828
SACRAMENTO county
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Issuance Date

July 21, 2015

Expiration Date

December 31, 2026

Current Date / Time

December 13, 2025
7:55:57 AM

License Relationships

FNP to DDS or OMS

License/Registration Role: Fictitious Name Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: LAU, LAWRENCE FU WAH

License/Registration Type: Dentist License

License Number: 57787 Primary Status: Current - Active

Address :
8848 Calvine Rd
Suite 120
SACRAMENTO CA 95828-9334
SACRAMENTO COUNTY

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