Individual
DR. CALVIN TAE CHUN NAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1210 S EUCLID ST, LA HABRA, CA 90631
(714) 871-4962
(714) 872-7369
Mailing address
1210 S EUCLID ST, LA HABRA, CA 90631
(714) 871-4962
(714) 872-7369
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
B37587
CA
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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