# HAN DENTAL GROUP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** South Hill Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679905368
- **Authorized official:** DONGWU HAN DMD (OWNER/DENTIST)
- **Authorized official phone:** (253) 848-2988

## Contact information

- **Practice address:** 11201 88TH AVE E, SUITE 110, PUYALLUP, WA 98373-3802
- **Practice address phone:** (253) 848-2988
- **Practice address fax:** (253) 840-9221
- **Mailing address:** 11201 88TH AVE E., SUITE 110, PUYALLUP, WA 98373-3802
- **Mailing address phone:** (253) 848-2988
- **Mailing address fax:** (253) 840-9221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |

## Other

- **Enumeration date:** 08/05/2013
- **Last updated:** 11/09/2022