Individual
EUGENE KEITH LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-0999
(734) 936-5732
Mailing address
4247 LOCUST ST, APT 623, PHILADELPHIA, PA 19104-5252
(215) 243-1511
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2901019594
MI
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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