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Organization
MARIBELLE TAM DDS INC.
Active
Organization
MARIBELLE TAM DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIBELLE TAM DDS (PRESIDENT)
(626) 357-7778
Entity
Organization
Contact information
Practice address
1217 HUNTINGTON DR, DUARTE, CA 91010-2454
(626) 357-7778
(626) 357-8701
Mailing address
1217 HUNTINGTON DR, DUARTE, CA 91010-2454
(626) 357-7778
(626) 357-8701
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
45030
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G93061-01
MEDICAL
CA
Enumeration date
03/15/2007
Last updated
08/22/2020
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