Individual
KYOUNG SOO HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1595 GLIDEWELL DR STE 104, BURLINGTON, NC 27215-8254
(336) 524-0099
Mailing address
2464 BRISTOL CREEK DR, MORRISVILLE, NC 27560-7880
(347) 334-3564
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11603
NC
Other
Enumeration date
07/10/2017
Last updated
03/02/2020
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