Individual
SAI N KHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1112 16TH ST NW STE 340, WASHINGTON, DC 20036-4819
(202) 628-9450
(202) 628-9453
Mailing address
9340 CLOCKTOWER PL APT 163, FAIRFAX, VA 22031-1227
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401413691
VA
122300000X
Dentist
Primary
DEN1001122
DC
Other
Enumeration date
07/05/2012
Last updated
07/05/2012
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