Individual
MS. MANDY HAYTON LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(224) 610-4846
Mailing address
7864 RODRIGUEZ CIR, SACRAMENTO, CA 95829-6606
(916) 690-4030
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS106346
CA
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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