Individual
DR. GRANT LAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10351 MASTIN ST, OVERLAND PARK, KS 66212
(316) 209-0474
Mailing address
9911 E 21ST ST N APT 412, WICHITA, KS 67206-3525
(316) 209-0474
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61438
KS
Other
Enumeration date
07/03/2017
Last updated
08/26/2022
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