Individual
JACKIE WING KIN LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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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