Individual
PEDRO LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1025 SENECA RD STE B, GREAT FALLS, VA 22066-1365
(571) 306-7676
Mailing address
350 N CLARK ST FL 6, CHICAGO, IL 60654-4712
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401416141
VA
Other
Enumeration date
05/15/2018
Last updated
05/17/2023
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