Individual
MICHAEL DAVID HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019030666
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
021002752
IL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
019030666
IL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
021-002752
IL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DE60367270
WA
Other
Enumeration date
04/15/2011
Last updated
03/09/2026
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