Individual
DR. SANGKYU - HAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.,M.S.
Contact information
Practice address
4660 W COLLEGE AVE, APPLETON, WI 54913-8507
(920) 730-0345
Mailing address
4117 N TERRAVIEW DR, APPLETON, WI 54913-6315
(920) 205-0515
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4244-015
WI
Other
Enumeration date
06/04/2006
Last updated
07/08/2007
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