Individual
MR. JOSEPH CHOCK TAM JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
200 SUDDERTH DRIVE, SUITE C, RUIDOSO, NM 88345
(505) 257-5179
(505) 257-5170
Mailing address
200 SUDDERTH DRIVE, SUITE C, RUIDOSO, NM 88345
(505) 257-5179
(505) 257-5170
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD1170
NM
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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