Provider Demographics
NPI:1609925320
Name:KAM, CURTIS PAUL (DDS)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:PAUL
Last Name:KAM
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5342 NEWFIELD CIR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92649-3687
Mailing Address - Country:US
Mailing Address - Phone:714-840-3884
Mailing Address - Fax:714-840-3884
Practice Address - Street 1:4501 E PACIFIC COAST HWY
Practice Address - Street 2:SUITE 200
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90804-3269
Practice Address - Country:US
Practice Address - Phone:562-597-4485
Practice Address - Fax:562-597-7723
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36947122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist