Individual
JOHN HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9901 FAIRFAX BLVD, FAIRFAX, VA 22030-1740
(703) 383-3434
(703) 383-3113
Mailing address
9901 FAIRFAX BLVD, FAIRFAX, VA 22030-1740
(703) 383-3434
(703) 383-3113
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401410533
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9180424
—
VA
Enumeration date
09/17/2006
Last updated
09/02/2021
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