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1972752582
SUNG MIN NAM
MELBOURNE, FL
NPI
1972752582
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL DN17947)
Enumeration Date
2008-09-18
Last Update Date
2008-09-18
Business Address
-- SUNG MIN NAM DMD
220 N BABCOCK ST
MELBOURNE, FL 32935-6717
Phone number: 321-254-5521
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Mailing Address
-- SUNG MIN NAM DMD
1170 TALON WAY
MELBOURNE, FL 32934-3255
Phone number:
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