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Individual

DR. JOHN JAEYOUNG HAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
11515 SUNRISE VALLEY DR, RESTON, VA 20191-1505
(703) 592-9116
(800) 349-5255
Mailing address
11515 SUNRISE VALLEY DR, RESTON, VA 20191-1505
(703) 592-9116
(800) 349-5255

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411112
VA

Other

Enumeration date
12/11/2006
Last updated
08/26/2010
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