Individual
PENELOPE LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
595 W 8TH ST, VANCOUVER, WA 98660-3006
(360) 699-6888
(360) 699-6887
Mailing address
595 W 8TH ST, VANCOUVER, WA 98660
(360) 699-6888
(360) 699-6887
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D7581
OR
122300000X
Dentist
Primary
DE60257370
WA
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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