# HAN S. SOH, DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CHANTILLY DENTAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912178815
- **Authorized official:** DR. HAN SOH DDS (PRESIDENT)
- **Authorized official phone:** (703) 961-1101

## Contact information

- **Practice address:** 4300 CHANTILLY SHOPPING CTR, SUITE 1C, CHANTILLY, VA 20151-4012
- **Practice address phone:** (703) 961-1101
- **Mailing address:** 4300 CHANTILLY SHOPPING CTR, SUITE 1C, CHANTILLY, VA 20151-4012
- **Mailing address phone:** (703) 961-1101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401410388 | VA | Yes |

## Other

- **Enumeration date:** 03/18/2008
- **Last updated:** 03/18/2008