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Individual
DR. HANNA BRODY
Active
Individual
DR. HANNA BRODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS MS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
104566
CA
1223P0300X
Periodontics
Primary
104566
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104566
DENTAL BOARD OF CALIFORNIA
CA
Enumeration date
12/10/2019
Last updated
08/31/2022
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