Organization
FAIRFAX DENTISTRY, PLLC
Active
Other names
Samuel S. Ham, DDS, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL SAEHO HAM DDS (OWNER/DENTIST)
(703) 691-2221
Entity
Organization
Contact information
Practice address
11351 RANDOM HILLS RD STE 102, FAIRFAX, VA 22030-6081
(703) 691-2221
(703) 691-3215
Mailing address
11351 RANDOM HILLS RD STE 102, FAIRFAX, VA 22030-6081
(703) 691-2221
(703) 691-3215
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
VA
Other
Enumeration date
09/27/2017
Last updated
07/21/2022
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