Individual
DR. THAI TOM LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10165 FOOTHILL BLVD, SUITE # 4, 5, RANCHO CUCAMONGA, CA 91730-0340
(818) 458-2516
Mailing address
10165 FOOTHILL BLVD, SUITE # 4, 5, RANCHO CUCAMONGA, CA 91730-0340
(818) 458-2516
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
54770
CA
1223P0221X
Pediatric Dentistry
Primary
54770
CA
Other
Enumeration date
05/03/2007
Last updated
03/26/2010
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