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Contact Information

LAM CHITTAPHONG, DDS
9888 CARROLL CENTRE RD
SUITE #120
SAN DIEGO, CA92126-4579
 Phone: 858-722-6332
 Fax: 888-514-1239
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for LAM CHITTAPHONG · (Male)

NPI # 1003012402
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 06/22/2007
Last updated 10/01/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 53983
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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