Individual
DR. THAI TOM LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
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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