Individual
MISS SUE HAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, BS
Contact information
Practice address
130 S ALVARADO ST, LOS ANGELES, CA 90057-2238
(213) 484-9660
Mailing address
715 S NORMANDIE AVE APT 427, LOS ANGELES, CA 90005-2293
(213) 364-7373
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH 19868
CA
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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