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Organization
TAM NGO DDS, INC.
Active
Organization
TAM NGO DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAM THANH NGO DDS (PRESIDENT)
(408) 568-8059
Entity
Organization
Contact information
Practice address
10051 BOLSA AVENUE, A-1, WESTMINSTER, CA 92683
(714) 839-6631
Mailing address
10051 BOLSA AVENUE, A-1, WESTMINSTER, CA 92683
(714) 839-6631
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
59705
CA
Other
Enumeration date
03/26/2014
Last updated
03/31/2014
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