Individual
JESSIE A HAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
357 RUSSELL AVE, EDGEWATER, NJ 07020-3133
(201) 341-0402
Mailing address
357 RUSSELL AVE, EDGEWATER, NJ 07020-3133
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
055135-1
NY
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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