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Organization
SAN GABRIEL VALLEY ORAL AND FACIAL SURGERY
Active
Organization
SAN GABRIEL VALLEY ORAL AND FACIAL SURGERY
Active
Other names
Peter S. Lam DDS, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
PATTY K BOGLE (PRACTICE ADMINISTRATOR)
(626) 966-8518
Entity
Organization
Contact information
Practice address
126 S GLENDORA AVE STE 108, WEST COVINA, CA 91790-3047
(626) 966-8518
(626) 967-0990
Mailing address
126 S GLENDORA AVE STE 108, WEST COVINA, CA 91790-3047
(626) 966-8518
(626) 967-0990
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
40257
CA
Other
Enumeration date
11/06/2017
Last updated
03/17/2018
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