Tam, Irene

Tam, Irene is an sole proprietor health care provider with primary practice located at 10833 Leconte Ave , Los Angeles CA 90095-0001. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Tam, Irene can be contacted via phone (310) 825-3795.

Contact Information

Primary practice address
10833 Leconte Ave Los Angeles CA 90095-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 53954 California

Profile Details

NPI number 1316121221
LBN Legal business name Tam, Irene
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2007
Last updated Dec 27th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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