Individual
DR. SUNG HYUN NAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
711 CANAL ST, STAMFORD, CT 06902-6094
(203) 490-6226
Mailing address
110 TOWNE ST UNIT 114, STAMFORD, CT 06902-5994
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15230897
CT
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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