Organization
JOHNNY K. NAM, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHNNY K NAM D.D.S (PRESIDENT)
(703) 323-6500
Entity
Organization
Contact information
Practice address
9561 BRADDOCK RD, FAIRFAX, VA 22032-2539
(703) 323-6500
Mailing address
9561 BRADDOCK RD, FAIRFAX, VA 22032-2539
(703) 323-6500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410729
VA
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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