NPI 1487748216

Joseph Chock Tam, DDS

Practitioner Dentist Ruidoso, NM

Practice location

Address: 200 Sudderth Drive Suite C, Ruidoso, NM 88345
Phone: (505) 257-5179
Fax: (505) 257-5170

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence DD1170 (NM)

Other Dentist providers in New Mexico →

Registry record

NPI: 1487748216
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Oct 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.