Individual
DR. MATTHEW LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
4379 RIDGEWOOD CENTER DR, WOODBRIDGE, VA 22192-8322
(703) 680-7950
Mailing address
23244 MEADOWVALE GLEN CT, DULLES, VA 20166-2148
(703) 347-4702
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401415318
VA
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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