Individual
DR. KENNY DAO LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
4410 S RIO DR, CHANDLER, AZ 85249-3382
(480) 786-0557
Mailing address
4410 S RIO DR, CHANDLER, AZ 85249-3382
(480) 786-0557
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
051761
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D7529
AZ
Other
Enumeration date
12/18/2006
Last updated
10/22/2008
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