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NPI Code Detail

MEDICARE: DR. CAROL H LAM DDS

MEDICARE:  DR. CAROL H LAM  DDS
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
11223G0001XGeneral Practice Dentistry47507CA

General Provider Information

NPI Number : 1073532594
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAROL H LAM DDS
Provider Business Mailing Address
First Line : 626 WILSHIRE BLVD
Second Line : STE. 920
City : LOS ANGELES
State : CA
Zip : 90017-3209
Country : US
Telephone Number : 213-622-9159
Fax Number : 213-622-1502
Provider Business Practice Location Address
First Line : 626 WILSHIRE BLVD
Second Line : STE. 920
City : LOS ANGELES
State : CA
Zip : 90017-3209
Country : US
Telephone Number : 213-622-9159
Fax Number : 213-622-1502
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 06/18/2015

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Directions to “ DR. CAROL H LAM DDS” Practice Location

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