Individual
DR. TAMARA TOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3601 S 6TH AVE, DENTAL SERVICE, TUCSON, AZ 85723-0001
(323) 376-4999
Mailing address
3601 S 6TH AVE, DENTAL SERVICE, TUCSON, AZ 85723-0001
(323) 376-4999
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
59910
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
07/02/2010
Last updated
12/01/2014
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