Individual
DR. SAMUEL BO RUM OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3620 W 1ST ST STE 40, PROSPER, TX 75078-3493
(469) 519-9951
Mailing address
17569 FISHTRAP RD STE 80, PROSPER, TX 75078-5122
(469) 519-9951
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
33165
TX
1223P0221X
Pediatric Dentistry
S6-153
NV
Other
Enumeration date
06/08/2015
Last updated
01/04/2024
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