| Phuong Bich Lam D.d.s, Inc | |
|
12920 S Figueroa St Ste A Los Angeles CA 90061-1135 | |
| (310) 323-2629 | |
| Not Available |
| Full Name | Phuong Bich Lam D.d.s, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12920 S Figueroa St Ste A, Los Angeles, California |
| Authorized Official Name and Position | Phuong Bich Lam (DENTIST) |
| Authorized Official Contact | 3103232629 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phuong Bich Lam D.d.s, Inc 12920 S Figueroa St Ste A Los Angeles CA 90061-1135 Ph: (310) 323-2629 | Phuong Bich Lam D.d.s, Inc 12920 S Figueroa St Ste A Los Angeles CA 90061-1135 Ph: (310) 323-2629 |
| NPI Number | 1669988945 |
|---|---|
| Provider Enumeration Date | 12/21/2017 |
| Last Update Date | 12/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669988945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 49921 (California) | Primary |
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