# NICOLE P. LAM, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619132883
- **Authorized official:** DR. NICOLE PHUONG LAM D.M.D. (DENTIST)
- **Authorized official phone:** (702) 328-8349

## Contact information

- **Practice address:** 7277 SASHAYING SPIRIT CT, LAS VEGAS, NV 89131-2356
- **Practice address phone:** (702) 328-8349
- **Mailing address:** 7277 SASHAYING SPIRIT CT, LAS VEGAS, NV 89131-2356
- **Mailing address phone:** (702) 328-8349

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5730 | NV | Yes |

## Other

- **Enumeration date:** 07/27/2008
- **Last updated:** 07/27/2008