Individual
XU BENJAMIN HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
40 W NICOLLET BLVD, BURNSVILLE, MN 55337-4524
(952) 926-1065
Mailing address
40 W NICOLLET BLVD, BURNSVILLE, MN 55337-4524
(952) 926-1065
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
30-024262
OH
1223P0221X
Pediatric Dentistry
Primary
D13754
MN
Other
Enumeration date
03/25/2014
Last updated
08/25/2016
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