Organization
IN SPA DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NHI B LAM DMD (DENTIST)
(972) 668-0412
Entity
Organization
Contact information
Practice address
8700 PRESTON RD STE 126, PLANO, TX 75024-3321
(972) 668-0142
(972) 668-0143
Mailing address
8700 PRESTON RD STE 126, PLANO, TX 75024-3321
(972) 668-0142
(972) 668-0143
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23128
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609096858
—
TX
Enumeration date
02/25/2008
Last updated
06/17/2008
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