Individual
PAUL HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
14001B SAINT GERMAIN DR, CENTREVILLE, VA 20121-2338
(703) 802-0630
Mailing address
14001B SAINT GERMAIN DR, CENTREVILLE, VA 20121-2338
(703) 802-0630
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401416553
VA
Other
Enumeration date
07/10/2019
Last updated
12/16/2021
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