Provider Demographics
NPI:1225101280
Name:LAM, PRITCHARD YEE KANG (DDS)
Entity Type:Individual
Prefix:DR
First Name:PRITCHARD
Middle Name:YEE KANG
Last Name:LAM
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:2917 SALVIO ST STE B
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94519-2580
Mailing Address - Country:US
Mailing Address - Phone:925-676-1440
Mailing Address - Fax:925-676-0313
Practice Address - Street 1:2917 SALVIO ST STE B
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94519-2580
Practice Address - Country:US
Practice Address - Phone:925-676-1440
Practice Address - Fax:925-676-0313
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA318211223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAT92233Medicare UPIN