Provider Demographics
NPI:1841545589
Name:LAM, PATRICK FOOK SANG (DMD)
Entity type:Individual
Prefix:
First Name:PATRICK FOOK SANG
Middle Name:
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 1:3326 HATCHER ST # 100
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75215-4437
Mailing Address - Country:US
Mailing Address - Phone:214-421-1373
Mailing Address - Fax:
Practice Address - Street 1:3326 HATCHER ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75215-4437
Practice Address - Country:US
Practice Address - Phone:214-421-1373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-18
Last Update Date:2013-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28247122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist