| Johnny K. Nam, D.D.S., P.C. | |
|
9561 Braddock Rd Fairfax VA 22032-2539 | |
| (703) 323-6500 | |
| Not Available |
| Full Name | Johnny K. Nam, D.D.S., P.C. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9561 Braddock Rd, Fairfax, Virginia |
| Authorized Official Name and Position | Johnny K Nam (PRESIDENT) |
| Authorized Official Contact | 7033236500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnny K. Nam, D.D.S., P.C. 9561 Braddock Rd Fairfax VA 22032-2539 Ph: (703) 323-6500 | Johnny K. Nam, D.D.S., P.C. 9561 Braddock Rd Fairfax VA 22032-2539 Ph: (703) 323-6500 |
| NPI Number | 1033384839 |
|---|---|
| Provider Enumeration Date | 04/23/2008 |
| Last Update Date | 04/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033384839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401410729 (Virginia) | Primary |
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