Individual
ANNA LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
209 CENTRE ST, MALDEN, MA 02148-5524
(781) 288-5185
Mailing address
14 CORINTH DR, WORCESTER, MA 01606-2561
(508) 667-4593
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN1859315
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/10/2020
Last updated
06/01/2022
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