Individual provider · Type 1 NPI
Wilson Tam
Pediatric Dentistry · Santee, CA
NPI number
1467947572
Active
Practice location
110 Town Center Pkwy Ste A
Santee, CA 92071-5801
Mailing address
7995 Civita Blvd Apt 312
San Diego, CA 92108-5212
Other practice locations
- 2015 Birch Rd Ste 103, Chula Vista, CA 91915-2003 · (619) 391-9287
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry | 1223P0221X | 061312 (NY) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Pediatric Dentistry Primary | 1223P0221X | 103358 (CA) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2 other providers at this address
Other pediatric dentistry providers in Santee
About NPI 1467947572
Wilson Tam's National Provider Identifier is 1467947572, issued on Jun 30, 2018. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Santee, CA. The record was last updated on Apr 4, 2022.