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General NPI Number Information
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NPI Number | 1477981504
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Entity Type | Organization
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Legal Business Name | JOYCE LAM DBA S.J. DENTAL
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Dates
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Enumeration Date | 10/29/2013
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Last Update Date | 10/29/2013
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Provider Practice Location Address
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Address Line | 1876 CURTNER AVE STE 100
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City | SAN JOSE
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State | CA
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Zip | 95124-1100
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Country | US
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Telephone | 408-371-7391
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Fax |
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Provider Business Mailing Address
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Address Line | 1876 CURTNER AVE STE 100
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City | SAN JOSE
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State | CA
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Zip | 95124-1100
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Country | US
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Telephone | 408-371-7391
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. JOYCE LAM
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Credential |
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Telephone | 408-371-7391
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 60636
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License Number State | CA
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