Individual
DR. TIMOTHY T LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
720 8TH AVE S, SUITE 100, SEATTLE, WA 98104-3032
(206) 788-3786
Mailing address
PO BOX 24911, SEATTLE, WA 98124-0911
(206) 788-3683
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00009697
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5049267
—
WA
01
—
5148LA
REGENCE BLUESHIELD
—
01
—
9697WA
WASHINGTON DENTAL
WA
Enumeration date
08/29/2006
Last updated
09/26/2007
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