# SAM OH,DMD,INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306074356
- **Authorized official:** DR. SAM S OH DMD (PRESIDENT)
- **Authorized official phone:** (360) 659-8548

## Contact information

- **Practice address:** 5929 EVERGREEN WAY, SUITE 101, EVERETT, WA 98203-6031
- **Practice address phone:** (360) 659-8548
- **Practice address fax:** (360) 653-6112
- **Mailing address:** 5929 EVERGREEN WAY, SUITE 101, EVERETT, WA 98203-6031
- **Mailing address phone:** (360) 659-8548
- **Mailing address fax:** (360) 653-6112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 10691 | WA | Yes |

## Other

- **Enumeration date:** 06/29/2009
- **Last updated:** 04/19/2017