Individual
VIVIANA HAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5562 PHILADELPHIA ST STE 211, CHINO, CA 91710-2499
(909) 548-0557
Mailing address
1220 W LA HABRA BLVD UNIT 104, LA HABRA, CA 90631-5232
(714) 261-0726
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
107304
CA
Other
Enumeration date
08/02/2023
Last updated
08/25/2024
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