institution
Edison S. Han, D.d.s., Inc
Dental Clinic/Center in Covina, California
NPI 1457552788

Edison S. Han, D.d.s., Inc is a Dental Clinic/Center based in Covina, CA and is specialized in Dental. Edison S. Han, D.d.s., Inc practices in Covina, CA. The NPI Number for Edison S. Han, D.d.s., Inc is 1457552788 and holds a License No. 48608 (California).

The current practice location address for Edison S. Han, D.d.s., Inc is 153 W College St, Covina, CA and can be reached out via phone at 626-339-9085.

Location: 153 W College St, Covina, CA, 91723-2008
institution
Provider Profile Details
NPI Number
1457552788
Provider Name
Edison S. Han, D.d.s., Inc
Credential
Provider Entity Type
Organization
Address
153 W College St, Covina, CA, 91723-2008
Phone Number
626-339-9085
Fax Number
Provider Enumeration Date
05/31/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G93075-01 01 CA DENTI-CAL BILLING ID
institution
Provider Business Practice Location Address Details
Address
153 W College St
City
State
Zip
91723-2008
Phone Number
626-339-9085
Fax Number
person
Provider Business Mailing Address Details
Address
153 W College St
City
State
Zip
91723-2008
Phone Number
626-339-9085
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
48608 (California)
Definition
Definition to come...
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