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Individual

DR. CHI SUN HAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
144 PARIS AVE, NORTHVALE, NJ 07647-1702
(201) 768-0466
(201) 768-1242
Mailing address
144 PARIS AVE, NORTHVALE, NJ 07647-1702
(201) 768-0466
(201) 768-1242

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
047504-1
NY
1223G0001X
General Practice Dentistry
Primary
22DI02035300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02740605
NY
Enumeration date
07/27/2006
Last updated
03/09/2021
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