| Edison S. Han, D.d.s., Inc | |
|
153 W College St Covina CA 91723-2008 | |
| (626) 339-9085 | |
| Not Available |
| Full Name | Edison S. Han, D.d.s., Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 153 W College St, Covina, California |
| Authorized Official Name and Position | Edison S Han (PRESIDENT, DENTIST) |
| Authorized Official Contact | 2133936567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edison S. Han, D.d.s., Inc 153 W College St Covina CA 91723-2008 Ph: (626) 339-9085 | Edison S. Han, D.d.s., Inc 153 W College St Covina CA 91723-2008 Ph: (626) 339-9085 |
| NPI Number | 1457552788 |
|---|---|
| Provider Enumeration Date | 05/31/2007 |
| Last Update Date | 12/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457552788 | NPI | - | NPPES |
| G93075-01 | Other | CA | DENTI-CAL BILLING ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 48608 (California) | Primary |
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