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NPI Code Detail

MEDICARE: DR. IRENE HAN D.M.D.

MEDICARE: DR. IRENE HAN 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
11223G0001XGeneral Practice Dentistry6530NV
2122300000XDentist6530NV

General Provider Information

NPI Number : 1639569064
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IRENE HAN D.M.D.
Provider Business Mailing Address
First Line : 4250 S RAINBOW BLVD STE 1004
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-3134
Country : US
Telephone Number : 702-456-4600
Fax Number : 702-456-3600
Provider Business Practice Location Address
First Line : 4250 S RAINBOW BLVD STE 1004
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-3134
Country : US
Telephone Number : 702-456-4600
Fax Number : 702-456-3600
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2015
Last Update Date : 01/26/2022

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Directions to “ DR. IRENE HAN D.M.D.” Practice Location

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