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Organization
FAIRFAX DENTISTRY, PLLC
Active
Organization
FAIRFAX DENTISTRY, PLLC
Active
Other names
Samuel S. Ham, DDS, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL SAEHO HAM DDS (OWNER/DENTIST)
(703) 691-2221
Entity
Organization
Contact information
Practice address
11351 RANDOM HILLS RD STE 102, FAIRFAX, VA 22030-6081
(703) 691-2221
(703) 691-3215
Mailing address
11351 RANDOM HILLS RD STE 102, FAIRFAX, VA 22030-6081
(703) 691-2221
(703) 691-3215
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
VA
Other
Enumeration date
09/27/2017
Last updated
07/21/2022
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