Individual
JERRY C. HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5000 W CLEARWATER AVE, KENNEWICK, WA 99336-1964
(509) 783-5000
(509) 783-8349
Mailing address
5000 W CLEARWATER AVE, KENNEWICK, WA 99336-1964
(509) 783-5000
(509) 783-8349
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00008483
WA
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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