Individual
DR. PIN-CHUANG LAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
650 E 25TH ST, KANSAS CITY, MO 64108-2716
(816) 235-2127
Mailing address
650 E 25TH ST, KANSAS CITY, MO 64108-2716
(816) 235-2127
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2022006623
MO
1223P0300X
Periodontics
RES.3166
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022006623
MISSOURI DENTAL BOARD
MO
Enumeration date
04/04/2013
Last updated
06/06/2022
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