Provider Demographics
NPI:1285704312
Name:TRINH, LAM (DDS)
Entity type:Individual
Prefix:
First Name:LAM
Middle Name:
Last Name:TRINH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9116 ABOUDARA CT
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-2106
Mailing Address - Country:US
Mailing Address - Phone:661-654-0166
Mailing Address - Fax:
Practice Address - Street 1:3400 CALLOWAY DR
Practice Address - Street 2:APT 303
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-2513
Practice Address - Country:US
Practice Address - Phone:661-213-3526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA463411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice