MEDICARE: DR. GIANG CHI 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
1	122300000X	Dentist	5141	NV

General Provider Information

NPI Number	:	1891879557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GIANG CHI LAM DDS

Provider Business Mailing Address
First Line	:	6545 S FORT APACHE RD STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-6753
Country	:	US
Telephone Number	:	702-331-4444
Fax Number	:	702-749-6200

Provider Business Practice Location Address
First Line	:	6545 S FORT APACHE RD STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-6753
Country	:	US
Telephone Number	:	702-331-4444
Fax Number	:	702-749-6200

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

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	06/17/2013

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