Individual
DR. SUMIN HAHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
19 MANCHESTER RD STE D3, DERRY, NH 03038-3067
(603) 810-7218
Mailing address
25 EXECUTIVE DR UNIT 318, STONEHAM, MA 02180-0041
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1859159
MA
1223P0300X
Periodontics
05112
NH
1223P0300X
Periodontics
Primary
DN1859159
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05112
DENTAL LICENSE
NH
01
—
DN1859159
LICENSE
MA
Enumeration date
08/13/2021
Last updated
10/21/2024
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