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NPI Code Detail

MEDICARE: SHEILA MARIE LAM DDS

MEDICARE:   SHEILA MARIE 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
1122300000XDentist015354MO

General Provider Information

NPI Number : 1699725705
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEILA MARIE LAM DDS
Provider Business Mailing Address
First Line : 485 WILDWOOD PARKWAY
Second Line : STE 3
City : BALLWIN
State : MO
Zip : 63011
Country : US
Telephone Number : 636-227-7055
Fax Number : 636-527-3900
Provider Business Practice Location Address
First Line : 485 WILDWOOD PARKWAY
Second Line : STE 3
City : BALLWIN
State : MO
Zip : 63011
Country : US
Telephone Number : 636-227-7055
Fax Number : 636-527-3900
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2006
Last Update Date : 07/08/2007

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Directions to “ SHEILA MARIE LAM DDS” Practice Location

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