Most Relevant Information
Provider Data
| NPI Number: | 1003012402 |
| Provider Name: | LAM CHITTAPHONG DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223E0200X |
| Specialty: | Dentist |
| License Number: | 53983 |
Most Important Dates
| Enumeration Date: | 06/22/2007 |
| Last Updated: | 10/01/2014 |
Provider Practice Location
9888 CARROLL CENTRE RD
SUITE #120
SAN DIEGO
CA
921264579
Practice Location Phone/Fax
| Phone: | 8587226332 |
| Fax: | 8885141239 |
Provider Mailing Location
9888 CARROLL CENTRE RD
SUITE #120
SAN DIEGO
CA
921264579
Provider Mailing Phone/Fax
| Phone: | 8587226332 |
| Fax: | 8885141239 |