Individual
DR. PETER S LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
518 W BADILLO ST, COVINA, CA 91722-3762
(626) 966-8518
(626) 967-0990
Mailing address
518 W BADILLO ST, COVINA, CA 91722-3762
(626) 966-8518
(626) 967-0990
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
40257
CA
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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