Johnny K. Nam, D.d.s., P.c.

NPI #1033384839 in Fairfax, Virginia

Provider Information

NPI Number: 1033384839
Entity Type: Organization
Organization Name: Johnny K. Nam, D.d.s., P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 23, 2008
Last Updated: Apr 23, 2008

Practice Location

Address: 9561 BRADDOCK RD
City: Fairfax
State: Virginia
ZIP Code: 22032-2539
Phone: (703) 323-6500

Authorized Official

Name: DR. JOHNNY K NAM, D.D.S
Title: PRESIDENT
Phone: (703) 323-6500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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