Organization
SAM OH,DMD,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM S OH DMD (PRESIDENT)
(360) 659-8548
Entity
Organization
Contact information
Practice address
5929 EVERGREEN WAY, SUITE 101, EVERETT, WA 98203-6031
(360) 659-8548
(360) 653-6112
Mailing address
5929 EVERGREEN WAY, SUITE 101, EVERETT, WA 98203-6031
(360) 659-8548
(360) 653-6112
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10691
WA
Other
Enumeration date
06/29/2009
Last updated
04/19/2017
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