Individual
DR. LAWRENCE TAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
111 JOHN ST RM 530, NEW YORK, NY 10038-0077
(212) 619-7899
(212) 619-0735
Mailing address
111 JOHN STREET STE 530, NEW YORK, NY 10038-2766
(212) 619-7899
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
052091
NY
Other
Enumeration date
07/03/2007
Last updated
08/09/2016
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