# DR. CHANG H HAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1750574158
- **Gender:** Man
- **Credential:** DDS, MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 050196 | NY | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 22DI02309700 | NJ | Yes |

## Other

- **Enumeration date:** 08/20/2007
- **Last updated:** 06/30/2008