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Organization
HAN DENTAL GROUP PLLC
Active
Organization
HAN DENTAL GROUP PLLC
Active
Other names
South Hill Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DONGWU HAN DMD (OWNER/DENTIST)
(253) 848-2988
Entity
Organization
Contact information
Practice address
11201 88TH AVE E, SUITE 110, PUYALLUP, WA 98373-3802
(253) 848-2988
(253) 840-9221
Mailing address
11201 88TH AVE E., SUITE 110, PUYALLUP, WA 98373-3802
(253) 848-2988
(253) 840-9221
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
NULL
1223G0001X
General Practice Dentistry
—
—
Other
Enumeration date
08/05/2013
Last updated
11/09/2022
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