Geon Nam Dmd LLC
Clinic/Center, Dental in Odenton, MD. Organization (NPI-2).
NPI number1013801331
StatusActive
Last updated in NPPESJun 3, 2025
Details
- NPI
- 1013801331
- Entity type
- Organization (NPI-2)
- Legal business name
- Geon Nam Dmd LLC
- Organization subpart
- No
- Enumeration date
- Jun 3, 2025
- Certification date
- Jun 3, 2025
- Last updated
- Jun 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
1215 Annapolis Rd Ste 208Odenton, MD 21113-1396
Phone 410-551-4600
Mailing address
1215 Annapolis Rd Ste 208Odenton, MD 21113-1396
Authorized official
Geon Nam
Owner
4105514600
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