Individual
DR. SANGWOO NAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4195 PLEASANT HILL RD STE 200, DULUTH, GA 30096-6385
(770) 845-4110
Mailing address
4195 PLEASANT HILL RD STE 200, DULUTH, GA 30096-6385
(770) 845-4110
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN012850
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
501110124A
—
GA
Enumeration date
01/09/2006
Last updated
11/01/2022
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