Individual
LAM S CHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
129 NORTH BRIDGE STREET, 129 NORTH BRIDGE STREET, JONESVILLE, NC 28642
(336) 835-7500
(336) 835-6809
Mailing address
PO BOX 187, PO BOX 187, JONESVILLE, NC 28642
(336) 835-7500
(336) 835-6809
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
NC6659
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9007J
—
NC
Enumeration date
08/22/2006
Last updated
07/08/2007
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