Organization
ADVANCED FACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIN LAM MD (PRESIDENT)
(704) 839-0535
Entity
Organization
Contact information
Practice address
5427 NC 49 S, SUITE 104, HARRISBURG, NC 28075
(704) 839-0535
(704) 839-0549
Mailing address
301 INDIAN TRAIL RD S, INDIAN TRAIL, NC 28079
(704) 839-0535
(704) 839-0549
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
207L00000X
Anesthesiology Physician
—
—
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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