Provider Demographics
NPI:1063653863
Name:LAM, NANCY GARMUN (DDS)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:GARMUN
Last Name:LAM
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 EMBARCADERO CENTER
Mailing Address - Street 2:PROMENADE LEVEL
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94111
Mailing Address - Country:US
Mailing Address - Phone:415-398-4400
Mailing Address - Fax:415-398-1748
Practice Address - Street 1:2 EMBARCADERO CENTER
Practice Address - Street 2:PROMENADE LEVEL
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94111
Practice Address - Country:US
Practice Address - Phone:415-398-4400
Practice Address - Fax:415-398-1748
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-09
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA585271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice