| Hanjun Guan Dmd Phd Llc | |
|
2204 S Taylor Rd Cleveland Heights OH 44118-3007 | |
| (216) 321-3462 | |
| Not Available |
| Full Name | Hanjun Guan Dmd Phd Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2204 S Taylor Rd, Cleveland Heights, Ohio |
| Authorized Official Name and Position | Hanjun Guan (OWNER) |
| Authorized Official Contact | 8593614032 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hanjun Guan Dmd Phd Llc 2204 S Taylor Rd Cleveland Heights OH 44118-3007 Ph: (216) 321-3462 | Hanjun Guan Dmd Phd Llc 2204 S Taylor Rd Cleveland Heights OH 44118-3007 Ph: (216) 321-3462 |
| NPI Number | 1366026155 |
|---|---|
| Provider Enumeration Date | 05/08/2021 |
| Last Update Date | 05/08/2021 |
| Medicare PECOS PAC ID | 4385092451 |
|---|---|
| Medicare Enrollment ID | O20231129003683 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366026155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Hanjun Guan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1497248736 PECOS PAC ID: 3678921871 Enrollment ID: I20231129000569 |
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