Individual
DR. GRACE LEE LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8028 COOPER AVE, #207, GLENDALE, NY 11385-7711
(718) 894-2110
Mailing address
6325 SAUNDERS ST, 7G, REGO PARK, NY 11374-2034
(646) 705-4749
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
057402
NY
Other
Enumeration date
04/24/2012
Last updated
11/18/2014
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