Provider Demographics
NPI:1508129735
Name:LAM, REGINA KAI-LAI (DDS)
Entity Type:Individual
Prefix:DR
First Name:REGINA
Middle Name:KAI-LAI
Last Name:LAM
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 1:1026 NE 65TH ST UNIT 516
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-6666
Mailing Address - Country:US
Mailing Address - Phone:808-389-2682
Mailing Address - Fax:
Practice Address - Street 1:4122 FACTORIA BLVD SE STE 301
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006-4277
Practice Address - Country:US
Practice Address - Phone:425-401-5000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-22
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE60291986122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist