Individual
KENT NAM DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3500 S BRISTOL ST, SUITE 100, SANTA ANA, CA 92704-7319
(714) 957-6030
Mailing address
17564 SANTA CATALINA CIR, FOUNTAIN VALLEY, CA 92708-4309
(714) 376-3770
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
51918
CA
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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