Individual
ANGELA LAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220-2508
(718) 630-7000
Mailing address
437 53RD ST, BROOKLYN, NY 11220-2712
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
024616
NY
Other
Enumeration date
06/07/2019
Last updated
06/07/2019
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