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DR. SAMSON LAM D.D.S.
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1497883136
Individual Registrant:DR. SAMSON LAM D.D.S.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
8740 S SEPULVEDA BLVD SUITE 130 WESTCHESTER, CA 90045-4000 US
Tel: 310-410-9494 Fax: --
Tel: 310-410-9494 Fax: --
Contact information for business:
3231 PROSPECT AVE ROSEMEAD, CA 91770-2262 US
Tel: 646-262-3838 Fax: --
Tel: 646-262-3838 Fax: --
Registration Information:
NPI: 1497883136
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 1223G0001X | Dental Providers Dentist General Practice | NY | 050516 |
| Y | 1223G0001X | Dental Providers Dentist | CA | 56732 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
