Provider Demographics
NPI:1770634446
Name:LAM, VICTOR H (DDS)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:H
Last Name:LAM
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:501 N FREDERICK AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-2507
Mailing Address - Country:US
Mailing Address - Phone:301-740-3660
Mailing Address - Fax:301-740-3299
Practice Address - Street 1:501 N FREDERICK AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-2507
Practice Address - Country:US
Practice Address - Phone:301-740-3660
Practice Address - Fax:301-740-3299
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MD133251223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics