Individual
KAI LEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
5595 WINFIELD BLVD STE 208, SAN JOSE, CA 95123
(408) 578-6400
(408) 578-0641
Mailing address
1520 GREEN OAK RD, VISTA, CA 92081-8742
(760) 216-4579
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
103244
CA
Other
Enumeration date
06/29/2015
Last updated
11/06/2019
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