Individual
DR. ELLEN MEEYOUNG NAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3705 LAKEVIEW PKWY, STE 101, ROWLETT, TX 75088-4177
(972) 475-2321
Mailing address
3705 LAKEVIEW PKWY, STE 101, ROWLETT, TX 75088-4177
(972) 475-2321
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22514
TX
Other
Enumeration date
04/13/2007
Last updated
09/13/2012
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