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Individual
OWEN TAM
Active
Individual
OWEN TAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DR61675322
WA
1223G0001X
General Practice Dentistry
Primary
DENT.DE.70115491
WA
Other
Enumeration date
11/27/2023
Last updated
10/07/2026
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