Organization
HAI LAI, A PROFESSIONAL DENTAL CORPORATION
Active
Other names
King Dental Practice
Organization subpart
No
Provider details
NPI number
Authorized official
HAI LAI D.D.S. (CEO)
(714) 774-2500
Entity
Organization
Contact information
Practice address
2623 W LINCOLN AVE STE 101, ANAHEIM, CA 92801-6310
(714) 774-2500
(714) 774-2518
Mailing address
2623 W LINCOLN AVE STE 101, ANAHEIM, CA 92801-6310
(714) 774-2500
(714) 774-2518
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
48735
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1345761
UNITED CONCORDIA
CA
05
—
G93801-01
—
CA
Enumeration date
07/26/2007
Last updated
05/30/2019
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