Individual
DANIEL THANH LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
54 HOPEDALE ST, HOPEDALE, MA 01747-1700
(508) 473-6500
Mailing address
54 BAIRD TRCE, SPRINGFIELD, MA 01118-1752
(413) 544-5565
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1859840
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/06/2023
Last updated
07/14/2023
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