Fairfax Dentistry, Pllc

NPI #1710496294 in Fairfax, Virginia

Provider Information

NPI Number: 1710496294
Entity Type: Organization
Organization Name: Fairfax Dentistry, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 27, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 11351 RANDOM HILLS RD STE 102
City: Fairfax
State: Virginia
ZIP Code: 22030-6081
Phone: (703) 691-2221

Authorized Official

Name: DR. SAMUEL SAEHO HAM, DDS
Title: OWNER/DENTIST
Phone: (703) 691-2221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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