| Daniel S Nam, Dds, Inc | |
|
2976 Summit St Suite 201 Oakland CA 94609-3405 | |
| (510) 451-8315 | |
| (510) 663-5833 |
| Full Name | Daniel S Nam, Dds, Inc |
|---|---|
| Speciality | Dentist |
| Location | 2976 Summit St, Oakland, California |
| Authorized Official Name and Position | Daniel S Nam (CEO/DENTIST) |
| Authorized Official Contact | 5104518315 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel S Nam, Dds, Inc 2976 Summit St Suite 201 Oakland CA 94609-3405 Ph: (510) 451-8315 | Daniel S Nam, Dds, Inc 2976 Summit St Suite 201 Oakland CA 94609-3405 Ph: (510) 451-8315 |
| NPI Number | 1124486758 |
|---|---|
| Provider Enumeration Date | 02/10/2016 |
| Last Update Date | 02/10/2016 |
| Medicare PECOS PAC ID | 0749543098 |
|---|---|
| Medicare Enrollment ID | O20180530003005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124486758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 50328 (California) | Primary |
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