| Geon Nam DMD LLC | |
|
1215 Annapolis Rd Ste 208 Odenton MD 21113-1396 | |
| (410) 551-4600 | |
| Not Available |
| Full Name | Geon Nam DMD LLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1215 Annapolis Rd Ste 208, Odenton, Maryland |
| Authorized Official Name and Position | Geon Nam (OWNER) |
| Authorized Official Contact | 4105514600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Geon Nam DMD LLC 1215 Annapolis Rd Ste 208 Odenton MD 21113-1396 | Geon Nam DMD LLC 1215 Annapolis Rd Ste 208 Odenton MD 21113-1396 Ph: (410) 551-4600 |
| NPI Number | 1013801331 |
|---|---|
| Provider Enumeration Date | 06/03/2025 |
| Last Update Date | 06/03/2025 |
| Certification Date | 06/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013801331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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