Provider Demographics
NPI:1801126586
Name:LAM, HAI XUAN (DMD)
Entity type:Individual
Prefix:DR
First Name:HAI
Middle Name:XUAN
Last Name:LAM
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1359 CRISTAL CT
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95127-4444
Mailing Address - Country:US
Mailing Address - Phone:408-258-3654
Mailing Address - Fax:
Practice Address - Street 1:1359 CRISTAL CT
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95127-4444
Practice Address - Country:US
Practice Address - Phone:408-258-3654
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-02
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58858122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist