Individual
ROSELIND SOOJIN NAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
23535 NE NOVELTY HILL RD D308, REDMOND, WA 98053
(425) 868-7770
(425) 868-7718
Mailing address
23535 NE NOVELTY HILL RD D308, REDMOND, WA 98053
(425) 868-7770
(425) 868-7718
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
61090
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
8012
NE
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE60139654
WA
Other
Enumeration date
06/09/2008
Last updated
12/31/2024
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