Individual
DR. KEITH H TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
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
1855031
MA
1223P0221X
Pediatric Dentistry
Primary
57293
CA
Other
Enumeration date
07/17/2008
Last updated
09/08/2021
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