Individual
DONGBIN NAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
257 S DE LACEY AVE UNIT 2134, PASADENA, CA 91105-4502
(213) 700-9654
Mailing address
257 S DE LACEY AVE UNIT 2134, PASADENA, CA 91105-4502
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
49944
CA
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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