# JOHNNY K. NAM, D.D.S., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033384839
- **Authorized official:** DR. JOHNNY K NAM D.D.S (PRESIDENT)
- **Authorized official phone:** (703) 323-6500

## Contact information

- **Practice address:** 9561 BRADDOCK RD, FAIRFAX, VA 22032-2539
- **Practice address phone:** (703) 323-6500
- **Mailing address:** 9561 BRADDOCK RD, FAIRFAX, VA 22032-2539
- **Mailing address phone:** (703) 323-6500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401410729 | VA | Yes |

## Other

- **Enumeration date:** 04/23/2008
- **Last updated:** 04/23/2008