Individual
SANDY JAEHYUN HA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
475 OLD MARLTON PIKE W, STE C, MARLTON, NJ 08053-2089
(856) 983-0202
Mailing address
475 OLD MARLTON PIKE W STE C, MARLTON, NJ 08053-2089
(856) 983-0202
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
22DI03092400
NJ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
39228
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
V1780
TX
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
22DI03092400
NJ
Other
Enumeration date
05/03/2018
Last updated
03/30/2026
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