Individual
DR. DANIELLE LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
320 BRISTOL ST, SUITE H, COSTA MESA, CA 92626-7946
(714) 546-7595
Mailing address
PO BOX 12211, WESTMINSTER, CA 92685-2211
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61466
CA
Other
Enumeration date
08/23/2012
Last updated
09/07/2016
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