Sang Han Valid NPI
Individual provider · General Practice Dentistry · Waukegan, IL
- NPI
- 1265148969
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 019.034355 (IL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2023-01-25
- Last updated
- 2023-09-19
Practice location
2821 Grand Ave
Waukegan, IL 60085-2372
(773) 225-0582