NPI | 1710496294 |
---|---|
Former Legal Business Name | SAMUEL S. HAM, DDS, PC |
Entity Type | Organization |
Authorized Contact | SAMUEL SAEHO HAM Owner/Dentist 703-691-2221 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2017-09-27 |
Last Update Date | 2022-07-21 |