Individual
DR. STACEY LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1798 BAY RD STE A, EAST PALO ALTO, CA 94303-5312
(650) 289-7700
Mailing address
1798 BAY RD STE A, EAST PALO ALTO, CA 94303-5312
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
56054
CA
Other
Enumeration date
06/23/2009
Last updated
12/13/2012
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