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Organization
XIANG NING HAN DDS DENTAL CORPORATION
Active
Organization
XIANG NING HAN DDS DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
XIANG NING HAN DDS (PRESIDENT)
(909) 627-5856
Entity
Organization
Contact information
Practice address
4439 E MISSION BLVD, # E, MONTCLAIR, CA 91763-6067
(909) 627-5856
(909) 627-5269
Mailing address
4439 E MISSION BLVD, # E, MONTCLAIR, CA 91763-6067
(909) 627-5856
(909) 627-5269
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
48459
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48459CA
DELTA DENTAL
CA
01
—
B4845901
HEALTHY FAMILIES
CA
Enumeration date
10/14/2006
Last updated
08/22/2020
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