Phuong Bich Lam D.D.S, INC
Clinic/Center, Dental in Los Angeles, CA. Organization (NPI-2).
NPI number1669988945
StatusActive
Last updated in NPPESDec 21, 2017
Details
- NPI
- 1669988945
- Entity type
- Organization (NPI-2)
- Legal business name
- Phuong Bich Lam D.D.S, INC
- Organization subpart
- No
- Enumeration date
- Dec 21, 2017
- Last updated
- Dec 21, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 49921 | CA | Yes |
Practice location
12920 S Figueroa St Ste ALos Angeles, CA 90061-1135
Phone 310-323-2629
Mailing address
12920 S Figueroa St Ste ALos Angeles, CA 90061-1135
Phone 310-323-2629
Authorized official
Phuong Bich Lam
Dentist
3103232629
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