Provider Demographics
NPI:1366796609
Name:LAM DENTAL, PLLC
Entity type:Organization
Organization Name:LAM DENTAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:QUOC-THANG
Authorized Official - Middle Name:HUNG
Authorized Official - Last Name:LAM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:832-364-8102
Mailing Address - Street 1:14402 W BELLFORT ST
Mailing Address - Street 2:APT # 518
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-1597
Mailing Address - Country:US
Mailing Address - Phone:832-364-8102
Mailing Address - Fax:
Practice Address - Street 1:9203 HIGHWAY 6 S
Practice Address - Street 2:SUITE 114
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-6386
Practice Address - Country:US
Practice Address - Phone:281-564-8100
Practice Address - Fax:281-564-8105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-08
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX246901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty