Ruby Tam, D.O

NPI 1194950303 · on the registry since 2009 · sole proprietor

Practice

Address: 5700 Bottineau Blvd
Suite 100
Crystal, MN 55429
Phone: (763) 504-6500
Organisation at this address: Comfortable Dental Pllc
Community Dental Care Inc
Novacare Outpatient Rehabilitation East, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 44

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-09-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota