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NPI Code Detail

MEDICARE: DR. CURTIS PAUL KAM D.D.S

MEDICARE:  DR. CURTIS PAUL KAM  D.D.S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist36947CA

General Provider Information

NPI Number : 1609925320
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CURTIS PAUL KAM D.D.S
Provider Business Mailing Address
First Line : 5342 NEWFIELD CIR
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92649-3687
Country : US
Telephone Number : 714-840-3884
Fax Number : 714-840-3884
Provider Business Practice Location Address
First Line : 4501 E PACIFIC COAST HWY
Second Line : SUITE 200
City : LONG BEACH
State : CA
Zip : 90804-3269
Country : US
Telephone Number : 562-597-4485
Fax Number : 562-597-7723
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2007
Last Update Date : 09/28/2007

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