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NPI Code Detail

MEDICARE: MAILIN MIMI LAI, D.D.S., P.C.

MEDICARE: MAILIN MIMI LAI, D.D.S., P.C.
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
1122300000XDentist

Other Identifiers

General Provider Information

NPI Number : 1891968012
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAILIN MIMI LAI, D.D.S., P.C.
Provider Business Mailing Address
First Line : 11 E BROADWAY
Second Line : 13TH FLOOR
City : NEW YORK
State : NY
Zip : 10038-1013
Country : US
Telephone Number : 212-227-3088
Fax Number : 212-227-3866
Provider Business Practice Location Address
First Line : 11 E BROADWAY
Second Line : 13TH FLOOR
City : NEW YORK
State : NY
Zip : 10038-1013
Country : US
Telephone Number : 212-227-3088
Fax Number : 212-227-3866
Authorized Official
Title or Position : OWNER
Name : DR. MAILIN MIMI LAI
Credential : D.D.S.
Telephone Number : 212-227-3088
Provider Enumeration Date : 04/09/2008
Last Update Date : 05/19/2009

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Directions to “MAILIN MIMI LAI, D.D.S., P.C. ” Practice Location

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