| NPI | 1679086243 |
|---|---|
| Former Legal Business Name | PETER S. LAM DDS, INC. |
| Entity Type | Organization |
| Authorized Contact | PATTY K BOGLE Practice Administrator 626-966-8518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 40257) |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2018-03-17 |