Provider Demographics
NPI:1801950928
Name:KAO, WEI LEA (DDS)
Entity type:Individual
Prefix:
First Name:WEI LEA
Middle Name:
Last Name:KAO
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 1:407 CHURCH ST NE
Mailing Address - Street 2:SUITE B
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180
Mailing Address - Country:US
Mailing Address - Phone:703-255-9038
Mailing Address - Fax:703-255-9039
Practice Address - Street 1:407 CHURCH ST NE
Practice Address - Street 2:SUITE B
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180
Practice Address - Country:US
Practice Address - Phone:703-255-9038
Practice Address - Fax:703-255-9039
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401008501122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist