Organization
ANITA TAM DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANITA TAM DDS (PRESIDENT)
(626) 961-6205
Entity
Organization
Contact information
Practice address
3065 S HACIENDA BLVD, HACIENDA HEIGHTS, CA 91745-5333
(626) 961-6205
(626) 961-6206
Mailing address
3065 S HACIENDA BLVD, HACIENDA HEIGHTS, CA 91745-5333
(626) 961-6205
(626) 961-6206
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2348874
CA
Other
Enumeration date
08/02/2006
Last updated
09/09/2013
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