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Individual

MR. CHAN W HAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
14957 NORTH KELSEY ST, SUITE 100, MONROE, WA 98272
(360) 863-8070
(360) 863-1252
Mailing address
14957 NORTH KELSEY ST, SUITE 100, MONROE, WA 98272
(360) 863-8070
(360) 863-1252

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE8317
WA

Other

Enumeration date
08/21/2006
Last updated
07/08/2007
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