Provider Demographics
NPI:1992188726
Name:LEI, KAI (DDS, MS)
Entity Type:Individual
Prefix:
First Name:KAI
Middle Name:
Last Name:LEI
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1520 GREEN OAK RD
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92081-8742
Mailing Address - Country:US
Mailing Address - Phone:760-216-4579
Mailing Address - Fax:
Practice Address - Street 1:5595 WINFIELD BLVD STE 208
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95123
Practice Address - Country:US
Practice Address - Phone:408-578-6400
Practice Address - Fax:408-578-0641
Is Sole Proprietor?:No
Enumeration Date:2015-06-29
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1032441223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics