Organization
PHOENIX FACE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TROY LAM DDS, MD (MEMBER)
(315) 416-0678
Entity
Organization
Contact information
Practice address
5757 W THUNDERBIRD RD STE W301, GLENDALE, AZ 85306-5606
(602) 938-3777
Mailing address
PO BOX 73152, PHOENIX, AZ 85050-1036
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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