Provider Demographics
NPI:1922733914
Name:LAM DENTAL ARTS PLLC
Entity Type:Organization
Organization Name:LAM DENTAL ARTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SYBIL
Authorized Official - Middle Name:
Authorized Official - Last Name:WNKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-677-0267
Mailing Address - Street 1:1025 SENECA RD STE B
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:VA
Mailing Address - Zip Code:22066-1365
Mailing Address - Country:US
Mailing Address - Phone:703-677-0267
Mailing Address - Fax:571-210-4410
Practice Address - Street 1:1025 SENECA RD STE B
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:VA
Practice Address - Zip Code:22066-1365
Practice Address - Country:US
Practice Address - Phone:703-677-0267
Practice Address - Fax:571-210-4410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-22
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental