Individual
PEARL LAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8501 TURNPIKE DR, SUITE 208, WESTMINSTER, CO 80031-7041
(719) 231-0728
Mailing address
8501 TURNPIKE DR, SUITE 208, WESTMINSTER, CO 80031-7041
(719) 231-0728
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
9936
CO
1223P0300X
Periodontics
Primary
D9936
CO
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
D12915
MN
Other
Enumeration date
06/19/2009
Last updated
09/17/2014
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