Most Relevant Information
Provider Data
| NPI Number: | 1003292145 |
| Provider Name: | VICKIE LAI |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 64816 |
Most Important Dates
| Enumeration Date: | 07/30/2015 |
| Last Updated: | 07/30/2015 |
Provider Practice Location
4405 W RIVERSIDE DR STE 300
BURBANK
CA
915054050
Practice Location Phone/Fax
| Phone: | 8188463831 |
| Fax: |
Provider Mailing Location
148 W LA SIERRA DR
ARCADIA
CA
910074021
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |