# JUNG NAM, DMD MSD INC

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

## Provider details

- **NPI number:** 1205278017
- **Authorized official:** DR. JUNG NAM DMD, MSD (PROSTHODONTIST)
- **Authorized official phone:** (650) 324-1292

## Contact information

- **Practice address:** 1691 EL CAMINO REAL STE 200, PALO ALTO, CA 94306-1054
- **Practice address phone:** (650) 324-1292
- **Practice address fax:** (650) 618-1944
- **Mailing address:** 1691 EL CAMINO REAL STE 200, PALO ALTO, CA 94306-1054
- **Mailing address phone:** (650) 324-1292
- **Mailing address fax:** (650) 618-1944

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | 55416 | CA | — |

## Other

- **Enumeration date:** 07/22/2013
- **Last updated:** 03/17/2020