Individual
JACKIE WING KIN LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
238 ARSENAL ST, WATERTOWN, NY 13601-2504
(315) 788-9834
Mailing address
238 ARSENAL ST, WATERTOWN, NY 13601-2504
(315) 782-9450
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
058224-1
NY
122300000X
Dentist
DN1856708
MA
122300000X
Dentist
DS039559
PA
Other
Enumeration date
07/26/2013
Last updated
01/18/2016
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