Individual
JESSE T HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1057 HARVARD RD, PIEDMONT, CA 94610-1128
(925) 699-9981
Mailing address
1959 NE PACIFIC ST, BOX 357134, SEATTLE, WA 98195-0001
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
105648
CA
Other
Enumeration date
03/02/2016
Last updated
03/26/2024
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