Provider Demographics
NPI:1952315459
Name:JAMES K. LAI, DDS INC.
Entity Type:Organization
Organization Name:JAMES K. LAI, DDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:KOK-KAI
Authorized Official - Last Name:LAI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:951-737-4515
Mailing Address - Street 1:1820 FULLERTON AVE STE 160
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92881-3102
Mailing Address - Country:US
Mailing Address - Phone:951-737-4515
Mailing Address - Fax:951-737-4522
Practice Address - Street 1:1820 FULLERTON AVE STE 160
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92881-3102
Practice Address - Country:US
Practice Address - Phone:951-737-4515
Practice Address - Fax:951-737-4522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA440021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty