Organization
WAI LAM, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAI LAM D.D.S. (ORTHODONTIST)
(301) 963-3100
Entity
Organization
Contact information
Practice address
236 MAIN ST, KENTLANDS, GAITHERSBURG, MD 20878-5498
(301) 963-3100
(301) 963-3102
Mailing address
236 MAIN ST, KENTLANDS, GAITHERSBURG, MD 20878-5498
(301) 963-3100
(301) 963-3102
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12741
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6828001 00
—
MD
Enumeration date
07/13/2011
Last updated
07/13/2011
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