Organization
SAN GABRIEL VALLEY ORAL AND FACIAL SURGERY
Active
Other names
Peter S. Lam DDS, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
PATTY K BOGLE (PRACTICE ADMINISTRATOR)
(626) 966-8518
Entity
Organization
Contact information
Practice address
126 S GLENDORA AVE STE 108, WEST COVINA, CA 91790-3047
(626) 966-8518
(626) 967-0990
Mailing address
126 S GLENDORA AVE STE 108, WEST COVINA, CA 91790-3047
(626) 966-8518
(626) 967-0990
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
40257
CA
Other
Enumeration date
11/06/2017
Last updated
03/17/2018
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