DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. IL WOO NAM, DDS

Active

MR. IL WOO NAM, DDS is a Dentist healthcare provider located in RIVERSIDE, California. NPI 1508864695 is currently active in the NPPES registry. Verify at CMS.

Dentist · RIVERSIDE, CA

Registration Details

NPI Number
1508864695
Provider Type
Individual
Gender
Male
NPI Issued
Jul 12, 2005 (21.055930149663 yrs)
Last Updated
Jul 8, 2007
License
32978 (CA)

Practice Information

Address
17675 VAN BUREN BLVD
SUITE D
RIVERSIDE, CA, 925046076
Browse CA providers · Browse ZIP 92504
Phone
9517891133
Fax
9517892560
Primary Specialty
Dentist
122300000X

Other Dentist Providers in RIVERSIDE, CA

Name Credential NPI
DR. JOSEPH TRINH DDS 1508864075
DR. ANWAR Z NASSER D.D.S 1356349500
DR. MICHAEL LEE HETSKO DDS 1639166978
DR. OH JAE KWON DDS 1972576866
DR. DANIEL Y LEE DDS 1588605810
ANGELA ANNETTE AVILA D.D.S 1063432367
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.