Individual
SAM ZHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
690 BARNES BLVD, JOINT BASE LEWIS MCCHORD, WA 98438-1303
(253) 982-5505
Mailing address
1137 PALISADE BLVD, DUPONT, WA 98327-9749
(716) 238-0719
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
14025093-9926
UT
122300000X
Dentist
Primary
DENT.DE.70035415
WA
Other
Enumeration date
07/02/2024
Last updated
12/20/2025
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