Individual
DR. SAM OH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5929 EVERGREEN WAY, SUITE 101, EVERETT, WA 98203-6031
(360) 659-8548
(360) 659-8548
Mailing address
5929 EVERGREEN WAY, SUITE 101, EVERETT, WA 98203-6031
(360) 659-8548
(360) 659-8548
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10691
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306074356
—
WA
Enumeration date
06/15/2005
Last updated
03/15/2017
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