Individual
DR. ANITA SHUK WAI TAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3065 S HACIENDA BLVD, HACIENDA HEIGHTS, CA 91745-5333
(626) 961-6205
(626) 961-6206
Mailing address
1295 BLACKSTONE RD, SAN MARINO, CA 91108-2718
(626) 287-7625
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
33385
CA
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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