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Organization

ANTHONY T. LAM, DMD, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANTHONY THANH LAM D.M.D. (PRESIDENT)
(215) 271-6999
Entity
Organization

Contact information

Practice address
1611 S BROAD ST, PHILADELPHIA, PA 19148-1003
(215) 271-6999
Mailing address
1611 S BROAD ST, PHILADELPHIA, PA 19148-1003
(215) 271-6999

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS035152
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0014652
HEALTH PARTNERS
PA
05
0018705400001
PA
01
01341901
UNITED CONCORDIA
PA
01
01870540-02
AMERICHOICE OF PA
PA
Enumeration date
10/12/2005
Last updated
08/11/2008
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