Provider Demographics
NPI:1497127443
Name:LAI, VICTORIA KATHERINE CHOI (DDS)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:KATHERINE CHOI
Last Name:LAI
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 1:438 SAILWIND WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95831-4564
Mailing Address - Country:US
Mailing Address - Phone:415-937-2175
Mailing Address - Fax:
Practice Address - Street 1:8580 ELK RIDGE WAY
Practice Address - Street 2:SUITE A
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95624-2275
Practice Address - Country:US
Practice Address - Phone:916-685-2575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-28
Last Update Date:2015-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA638951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice