MEDICARE: DR. DAVID SEUNG HAN M.S., D.M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	48607	CA

General Provider Information

NPI Number	:	1538352471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID SEUNG HAN M.S., D.M.D.

Provider Business Mailing Address
First Line	:	122 CIVIC CENTER DR
Second Line	:	SUITE 104
City	:	VISTA
State	:	CA
Zip	:	92084-6040
Country	:	US
Telephone Number	:	760-726-4790
Fax Number	:

Provider Business Practice Location Address
First Line	:	122 CIVIC CENTER DR
Second Line	:	SUITE 104
City	:	VISTA
State	:	CA
Zip	:	92084-6040
Country	:	US
Telephone Number	:	760-726-4790
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2007
Last Update Date	:	10/17/2016

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