Organization
TAM & COTTRELL DENTAL PARTNERSHIP
Active
Other names
Santa Maria Pediatric Dental Group & Ortho
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH TAM DDS (GENERAL PARTNER)
(949) 322-9778
Entity
Organization
Contact information
Practice address
570 E BETTERAVIA RD STE C, SANTA MARIA, CA 93454-8851
(805) 922-2888
Mailing address
570 E BETTERAVIA RD STE C, SANTA MARIA, CA 93454-8851
(805) 922-2888
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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