Organization
HAN S. SOH, DDS, PC
Active
Other names
CHANTILLY DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAN SOH DDS (PRESIDENT)
(703) 961-1101
Entity
Organization
Contact information
Practice address
4300 CHANTILLY SHOPPING CTR, SUITE 1C, CHANTILLY, VA 20151-4012
(703) 961-1101
Mailing address
4300 CHANTILLY SHOPPING CTR, SUITE 1C, CHANTILLY, VA 20151-4012
(703) 961-1101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410388
VA
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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