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Organization
KEITH TAM DDS PROFESSIONAL CORP
Active
Organization
KEITH TAM DDS PROFESSIONAL CORP
Active
Other names
Santa Maria Pediatric Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH TAM DDS (OWNER)
(949) 322-9778
Entity
Organization
Contact information
Practice address
570 E BETTERAVIA RD, STE C, SANTA MARIA, CA 93454-8805
(805) 922-2888
(805) 925-0888
Mailing address
570 E BETTERAVIA RD, STE C, SANTA MARIA, CA 93454-8805
(805) 922-2888
(805) 925-0888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
57293
CA
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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