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NPI Code Detail

MEDICARE: DONG HUN HAN

MEDICARE: DONG HUN HAN
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
1122300000XDentistDS044168PA

General Provider Information

NPI Number : 1770256786
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONG HUN HAN
Provider Business Mailing Address
First Line : 601 PARK ST
Second Line :
City : HONESDALE
State : PA
Zip : 18431-1445
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 750 ROUTE 739
Second Line :
City : LORDS VALLEY
State : PA
Zip : 18428-6058
Country : US
Telephone Number : 570-775-7818
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2021
Last Update Date : 10/11/2023

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Directions to “ DONG HUN HAN ” Practice Location

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