Individual
JIM DATCHIEU LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10250 COTTONWOOD PARK NW, SUITE B, ALBUQUERQUE, NM 87114-7018
(505) 890-0858
(505) 890-1402
Mailing address
10250 COTTONWOOD PARK NW, SUITE B, ALBUQUERQUE, NM 87114-7018
(505) 890-0858
(505) 890-1402
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4428
NM
Other
Enumeration date
11/12/2015
Last updated
11/16/2015
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