Individual
DR. LAM CHITTAPHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9888 CARROLL CENTRE RD, SUITE #120, SAN DIEGO, CA 92126-4579
(858) 722-6332
(888) 514-1239
Mailing address
9888 CARROLL CENTRE RD, SUITE #120, SAN DIEGO, CA 92126-4579
(858) 722-6332
(888) 514-1239
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
53983
CA
Other
Enumeration date
06/22/2007
Last updated
10/01/2014
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