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Organization
HAN, ROSE AND RHOTEN, PLLC
Active
Organization
HAN, ROSE AND RHOTEN, PLLC
Active
Other names
Clearwater Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY C HAN DDS (OWNER PARTNER)
(509) 783-5000
Entity
Organization
Contact information
Practice address
5000 W. CLEARWATER AVE., KENNEWICK, WA 99336-1964
(509) 783-5000
Mailing address
5000 W CLEARWATER AVE, KENNEWICK, WA 99336-1910
(509) 783-5000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00004645
WA
1223G0001X
General Practice Dentistry
DE00008483
WA
1223G0001X
General Practice Dentistry
DE00010578
WA
1223G0001X
General Practice Dentistry
—
NULL
1223G0001X
General Practice Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
NULL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
125Q00000X
Oral Medicine Dentistry
—
NULL
125Q00000X
Oral Medicine Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
NULL
332BC3200X
Customized Equipment (DME)
—
NULL
Other
Enumeration date
01/06/2009
Last updated
08/07/2026
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