Provider Demographics
NPI:1659432565
Name:CAI, LAUREN (DDS, PC)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:CAI
Suffix:
Gender:F
Credentials:DDS, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:870 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:WA
Mailing Address - Zip Code:98632-2404
Mailing Address - Country:US
Mailing Address - Phone:360-425-8210
Mailing Address - Fax:360-577-1605
Practice Address - Street 1:870 12TH AVE
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:WA
Practice Address - Zip Code:98632-2404
Practice Address - Country:US
Practice Address - Phone:360-425-8210
Practice Address - Fax:360-577-1605
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000076501223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics