Individual
DR. SAMUEL SAEHO HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11230 WAPLES MILL ROAD, SUITE 160, FAIRFAX, VA 22030
(703) 691-2221
(703) 691-3215
Mailing address
11230 WAPLES MILL ROAD, SUITE 160, FAIRFAX, VA 22030
(703) 691-2221
(703) 691-3215
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401007588
VA
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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