Individual
BYRON H TAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2217 E LAKE MEAD BLVD, NORTH LAS VEGAS, NV 89030-7137
(702) 641-5888
Mailing address
2250 S RANCHO DR STE 205, LAS VEGAS, NV 89102-4456
17022912031
(702) 984-7566
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6881
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6881
NV DENTAL BOARD
NV
Enumeration date
05/30/2012
Last updated
03/17/2018
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