Tam, Wilson

Tam, Wilson is an individual health care provider with primary practice located at 110 Town Center Pkwy Ste A , Santee CA 92071-5801. He recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Pediatric Dentistry is his primary health care specialty. Tam, Wilson can be contacted via phone (619) 396-2477.

Contact Information

Primary practice address
110 Town Center Pkwy Ste A Santee CA 92071-5801
Phone: (619) 396-2477
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 061312 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X New York
Dental Providers / Pediatric Dentistry 1223P0221X 103358 California

Profile Details

NPI number 1467947572
LBN Legal business name Tam, Wilson
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2018
Last updated Apr 4th, 2022 - about 3 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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