Organization
WALTER LAM DDS A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER LAM (PRESIDENT)
(626) 289-1020
Entity
Organization
Contact information
Practice address
2707 E VALLEY BLVD, SUITE 211, WEST COVINA, CA 91792-3195
(626) 679-7977
(626) 768-7334
Mailing address
723 S GARFIELD AVE., SUITE 205, ALHAMBRA, CA 91801-4429
(626) 289-1020
(626) 768-7334
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
09/21/2011
Last updated
11/17/2011
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