Individual
ANNIE LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
411 4TH ST STE A, SAN RAFAEL, CA 94901-5716
(415) 271-8386
Mailing address
2416 40TH AVE, SAN FRANCISCO, CA 94116-2115
(415) 271-8386
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
22964
CA
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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