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Organization
ANTHONY T. LAM, DMD, PC
Active
Organization
ANTHONY T. LAM, DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY THANH LAM D.M.D. (PRESIDENT)
(215) 271-6999
Entity
Organization
Contact information
Practice address
1611 S BROAD ST, PHILADELPHIA, PA 19148-1003
(215) 271-6999
Mailing address
1611 S BROAD ST, PHILADELPHIA, PA 19148-1003
(215) 271-6999
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS035152
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014652
HEALTH PARTNERS
PA
05
—
0018705400001
—
PA
01
—
01341901
UNITED CONCORDIA
PA
01
—
01870540-02
AMERICHOICE OF PA
PA
Enumeration date
10/12/2005
Last updated
08/11/2008
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