Individual
DR. ANDREW L TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5122 HWY 53, BRASELTON, GA 30517
(706) 654-2492
(706) 654-3479
Mailing address
PO BOX 640, 5122 HWY 53, BRASELTON, GA 30517
(706) 654-2492
(706) 654-3479
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
011613
GA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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