Individual
DR. SHUFANG AMY LAI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2442 SE 101ST AVE, SUITE 303, PORTLAND, OR 97216-3060
(503) 253-7579
(503) 253-7579
Mailing address
2442 SE 101ST AVENUE, SUITE 303, PORTLAND, OR 94216-3060
(503) 253-7579
(503) 253-7579
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
06632
OR
Other
Enumeration date
10/06/2005
Last updated
07/08/2007
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