Individual
CALVIN H TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2360 BROADWAY, NEW YORK, NY 10024-2801
(212) 406-3686
Mailing address
2220 MIDVALE TER, HENDERSON, NV 89074-5343
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
61008
NY
1223G0001X
General Practice Dentistry
Primary
7001
NV
Other
Enumeration date
12/07/2017
Last updated
12/02/2020
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