Provider Demographics
NPI:1306020201
Name:NAH, HYUNDUCK (DMD)
Entity type:Individual
Prefix:
First Name:HYUNDUCK
Middle Name:
Last Name:NAH
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:HYUN-DUCK
Other - Middle Name:
Other - Last Name:NAH-CEDERQUIST
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:609 GORDON DR
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-1285
Mailing Address - Country:US
Mailing Address - Phone:610-524-7202
Mailing Address - Fax:610-524-0709
Practice Address - Street 1:609 GORDON DR
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-1285
Practice Address - Country:US
Practice Address - Phone:610-524-7202
Practice Address - Fax:610-524-9709
Is Sole Proprietor?:No
Enumeration Date:2007-12-27
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS030469L1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics