MEDICARE: DR. YU-CHING LAI D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	60625	CA

General Provider Information

NPI Number	:	1861771909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YU-CHING LAI D.D.S.

Provider Business Mailing Address
First Line	:	916 SAN PABLO AVE UNIT B
Second Line	:
City	:	ALBANY
State	:	CA
Zip	:	94706-2059
Country	:	US
Telephone Number	:	510-859-7801
Fax Number	:

Provider Business Practice Location Address
First Line	:	916 SAN PABLO AVE UNIT B
Second Line	:
City	:	ALBANY
State	:	CA
Zip	:	94706-2059
Country	:	US
Telephone Number	:	510-859-7801
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2011
Last Update Date	:	10/25/2024

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