Individual
DR. SAMUEL STANLEY TATEM JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
179 CEDAR LN STE G, TEANECK, NJ 07666-4304
(201) 836-0029
(201) 836-9529
Mailing address
179 CEDAR LN STE G, TEANECK, NJ 07666-4304
(201) 836-0029
(201) 836-9529
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI17644
NJ
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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