Individual
DR. KYUNGHEE NAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
30 MALL DR W STE 71-A, JERSEY CITY, NJ 07310-1615
(201) 626-2500
Mailing address
30 MALL DR W STE 71-A, JERSEY CITY, NJ 07310-1615
(201) 626-2500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02614200
NJ
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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