Provider Demographics
NPI:1235460320
Name:HAN, JINNY YOOJIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JINNY
Middle Name:YOOJIN
Last Name:HAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5710 CAHALAN AVE
Mailing Address - Street 2:SUITE 8L
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95123-3010
Mailing Address - Country:US
Mailing Address - Phone:408-578-4600
Mailing Address - Fax:
Practice Address - Street 1:5710 CAHALAN AVE
Practice Address - Street 2:SUITE 8L
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95123-3010
Practice Address - Country:US
Practice Address - Phone:408-578-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-29
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59046122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist