Individual
PHING LAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1290 GEARY ST SE, ALBANY, OR 97322-6833
(541) 971-4095
Mailing address
281 SANDERS CREEK PKWY, EAST SYRACUSE, NY 13057-1307
(315) 454-6000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9631
OR
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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