Individual
DR. ALBERT T TOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
40100 WASHINGTON ST STE 113, BERMUDA DUNES, CA 92203-9644
(760) 360-4285
(760) 360-5596
Mailing address
40100 WASHINGTON ST STE 113, BERMUDA DUNES, CA 92203-9644
(760) 360-4285
(760) 360-5596
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
41684
CA
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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