Organization
JOHN HAN D.D.S., P.C.
Active
Other names
Pediatric Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN HAN DDS (PRESIDENT)
(703) 992-5842
Entity
Organization
Contact information
Practice address
9901 FAIRFAX BLVD., FAIRFAX, VA 22030-3058
(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
Enumeration date
03/13/2008
Last updated
04/08/2016
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