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Organization
HANITA SIDANA, DMD, INC.
Active
Organization
HANITA SIDANA, DMD, INC.
Active
Other names
Gentle Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANITA SIDANA D.M.D (PRESIDENT)
(818) 825-8111
Entity
Organization
Contact information
Practice address
7138 SHOUP AVE STE B7&B8, WEST HILLS, CA 91307-2383
(818) 883-7070
(818) 883-7031
Mailing address
23852 STAGG ST, WEST HILLS, CA 91304-6100
(818) 825-8111
(818) 337-2074
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
53336
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G93684-01
—
CA
Enumeration date
12/05/2006
Last updated
08/20/2014
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