| David S. Han, M.s., D.m.d., A Professional Corporation | |
|
122 Civic Center Dr Suite 104 Vista CA 92084-6040 | |
| (760) 726-4790 | |
| (760) 726-0960 |
| Full Name | David S. Han, M.s., D.m.d., A Professional Corporation |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 122 Civic Center Dr, Vista, California |
| Authorized Official Name and Position | David S. Han (PRESIDENT/OWNER) |
| Authorized Official Contact | 7607264790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David S. Han, M.s., D.m.d., A Professional Corporation 122 Civic Center Dr Suite 104 Vista CA 92084-6040 Ph: (760) 726-4790 | David S. Han, M.s., D.m.d., A Professional Corporation 122 Civic Center Dr Suite 104 Vista CA 92084-6040 Ph: (760) 726-4790 |
| NPI Number | 1902828874 |
|---|---|
| Provider Enumeration Date | 07/23/2006 |
| Last Update Date | 10/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902828874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 48607 (California) | Primary |
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