| Maribelle Tam Dds Inc. | |
|
1217 Huntington Dr Duarte CA 91010-2454 | |
| (626) 357-7778 | |
| (626) 357-8701 |
| Full Name | Maribelle Tam Dds Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1217 Huntington Dr, Duarte, California |
| Authorized Official Name and Position | Maribelle Tam (PRESIDENT) |
| Authorized Official Contact | 6263577778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maribelle Tam Dds Inc. 1217 Huntington Dr Duarte CA 91010-2454 Ph: (626) 357-7778 | Maribelle Tam Dds Inc. 1217 Huntington Dr Duarte CA 91010-2454 Ph: (626) 357-7778 |
| NPI Number | 1861526410 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861526410 | NPI | - | NPPES |
| G93061-01 | Other | CA | MEDICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 45030 (California) | Primary |
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