Provider Demographics
NPI:1235365024
Name:LAM, QUOC-THANG HUNG (DDS)
Entity Type:Individual
Prefix:DR
First Name:QUOC-THANG
Middle Name:HUNG
Last Name:LAM
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28404 HIGHWAY 290 STE G03
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-5474
Mailing Address - Country:US
Mailing Address - Phone:281-849-8733
Mailing Address - Fax:
Practice Address - Street 1:28404 HIGHWAY 290 STE G03
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-5474
Practice Address - Country:US
Practice Address - Phone:281-849-8733
Practice Address - Fax:281-849-3690
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-08
Last Update Date:2017-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX246901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice