Jungsoo Nam
Jungsoo Nam is a Student in an Organized Health Care Education/Training Program in Bloomington, Indiana. Works from 2 locations. Licensed in Indiana.
- Licensed in
- IN
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
330 N Jacob DrBloomington, IN 47404-4823
Phone: (812) 323-7595
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1001 Shadow Ln, Las Vegas, NV 89106-4124 — (702) 786-5928
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 12014730A (IN) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1194501031 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 6, 2023 |
| Last updated in NPPES | May 29, 2025 |
| Certification date | May 29, 2025 |
| Mailing address | 1001 Shadow Ln, Las Vegas, NV 89106-4124 |
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