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Organization
JIM LAM DDS PLLC
Active
Organization
JIM LAM DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIM LAM DDS (DENTIST)
(626) 235-6572
Entity
Organization
Contact information
Practice address
6821 DONIPHAN DR, CANUTILLO, TX 79835-5402
(915) 877-4949
(915) 877-4242
Mailing address
6821 DONIPHAN DR, CANUTILLO, TX 79835-5402
(915) 877-4949
(915) 877-4242
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
NULL
1223G0001X
General Practice Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/28/2021
Last updated
03/18/2022
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