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General NPI Number Information
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NPI Number | 1851219489
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Entity Type | Organization
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Legal Business Name | DONG HAN DMD PLLC
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Dates
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Enumeration Date | 07/09/2026
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Last Update Date | 07/09/2026
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Provider Practice Location Address
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Address Line | 11102 SUNRISE BLVD E STE 101
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City | SOUTH HILL
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State | WA
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Zip | 98374-8846
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Country | US
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Telephone | 253-235-9998
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Fax |
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Provider Business Mailing Address
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Address Line | 11102 SUNRISE BLVD E STE 101
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City | SOUTH HILL
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State | WA
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Zip | 98374-8846
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Country | US
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Telephone | 253-235-9998
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DONGWU HAN
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Credential |
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Telephone | 253-235-9998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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