Provider Demographics
NPI:1477759587
Name:MAI, KAYLA ELIZABETH (DDS)
Entity Type:Individual
Prefix:DR
First Name:KAYLA
Middle Name:ELIZABETH
Last Name:MAI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5965 W TROPICANA AVE STE A
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-4892
Mailing Address - Country:US
Mailing Address - Phone:702-434-9222
Mailing Address - Fax:702-434-1126
Practice Address - Street 1:5965 W TROPICANA AVE STE A
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-4892
Practice Address - Country:US
Practice Address - Phone:702-434-9222
Practice Address - Fax:702-434-1126
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4491122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist