Individual
SEAN BRIAN HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9750 N ORACLE RD APT 17105, ORO VALLEY, AZ 85704-7689
(520) 404-9425
Mailing address
9750 N ORACLE RD APT 17105, ORO VALLEY, AZ 85704-7689
(520) 404-9425
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10567
AZ
122300000X
Dentist
DDS100574
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10567
AZ DENTAL LICENSE
AZ
Enumeration date
08/11/2016
Last updated
11/20/2020
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