Individual
DR. SANDRA OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3650 BAXLEY RIDGE DR, SUWANEE, GA 30024-4501
(770) 630-9141
Mailing address
3650 BAXLEY RIDGE DR, SUWANEE, GA 30024-4501
(678) 373-3225
(678) 373-3225
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN013379
GA
1223P0221X
Pediatric Dentistry
Primary
DN013379
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
672066157B
—
GA
Enumeration date
11/13/2006
Last updated
08/13/2015
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