Provider Demographics
NPI:1255572624
Name:HAN SOO LHO DMD
Entity type:Organization
Organization Name:HAN SOO LHO DMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HAN
Authorized Official - Middle Name:SOO
Authorized Official - Last Name:LHO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:617-359-4971
Mailing Address - Street 1:311 CENTRAL ST
Mailing Address - Street 2:
Mailing Address - City:SAUGUS
Mailing Address - State:MA
Mailing Address - Zip Code:01906-2341
Mailing Address - Country:US
Mailing Address - Phone:781-233-1189
Mailing Address - Fax:
Practice Address - Street 1:311 CENTRAL ST
Practice Address - Street 2:
Practice Address - City:SAUGUS
Practice Address - State:MA
Practice Address - Zip Code:01906-2341
Practice Address - Country:US
Practice Address - Phone:781-233-1189
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-16
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA21025122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty