Individual
NATHAN TAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
27081 185TH AVE SE, COVINGTON, WA 98042-8448
(480) 257-6882
Mailing address
1250 N ABBEY LN UNIT 251, CHANDLER, AZ 85226-1555
(480) 257-6882
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12083
OR
122300000X
Dentist
Primary
DE61689979
WA
Other
Enumeration date
08/23/2024
Last updated
02/11/2026
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