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Individual
JERRY C. HAN
Active
Individual
JERRY C. HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00008483
WA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
00008483
WA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
00008483
WA
125Q00000X
Oral Medicine Dentistry
00008483
WA
Other
Enumeration date
11/14/2006
Last updated
08/07/2026
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