Individual
HAN SOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4300 CHANTILLY SHOPPING CENTER, SUITE 1C, CHANTILLY, VA 20151
(703) 961-1101
(703) 961-1103
Mailing address
4300 CHANTILLY SHOPPING CENTER, SUITE 1C, CHANTILLY, VA 20151
(703) 961-1101
(703) 961-1103
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410388
VA
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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