Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 16123 | MA |
NPI | 1033288279 |
---|---|
Provider Name | Dr. Unae K. Han |
First Address | Weston, MA 02493-1534 |
Second Address | Weston, MA 02493-1534 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2006 |
Last Update Date | 08/07/2007 |