Individual
JASON HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
15810 E INDIANA AVE, SPOKANE VALLEY, WA 99216-1864
(909) 693-0056
Mailing address
3284 N BELMONT RD, COEUR D ALENE, ID 83815-0433
(909) 693-0056
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60682744
WA
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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