Walter Lam Dds, A Professional Corp. | |
2707 E Valley Blvd Ste 211 West Covina CA 91792-3197 | |
(626) 839-9977 | |
(626) 768-7334 |
Full Name | Walter Lam Dds, A Professional Corp. |
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Speciality | Clinic/center - Dental |
Location | 2707 E Valley Blvd Ste 211, West Covina, California |
Authorized Official Name and Position | Walter Lam (DENTIST) |
Authorized Official Contact | 6268399977 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Walter Lam Dds, A Professional Corp. 2707 E Valley Blvd Ste 211 West Covina CA 91792-3197 Ph: (626) 839-9977 | Walter Lam Dds, A Professional Corp. 2707 E Valley Blvd Ste 211 West Covina CA 91792-3197 Ph: (626) 839-9977 |
NPI Number | 1700111713 |
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Provider Enumeration Date | 10/08/2009 |
Last Update Date | 10/08/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700111713 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 41101 (California) | Primary |
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