SAMUEL P HUTAGALUNG TAM

PHILADELPHIA, PA
NPI1104150168
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: PA  DS038083)
Enumeration Date2009-09-23
Last Update Date2009-09-23
Business Address
Dr. SAMUEL P HUTAGALUNG TAM DMD
2020 WALNUT ST APT 6C
PHILADELPHIA, PA 19103-5600
Phone number: 267-467-0092
Mailing Address
Dr. SAMUEL P HUTAGALUNG TAM DMD
2020 WALNUT ST APT 6C
PHILADELPHIA, PA 19103-5600
Phone number: 267-467-0092
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