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Organization
AMANDA HANNA DDS INC
Active
Organization
AMANDA HANNA DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA H ARCHIE DDS (OWNER DENTIST)
(310) 534-2633
Entity
Organization
Contact information
Practice address
3710 PACIFIC COAST HWY STE 101, TORRANCE, CA 90505-5914
(310) 534-2633
(562) 658-2922
Mailing address
3710 PACIFIC COAST HWY STE 101, TORRANCE, CA 90505-5914
(310) 534-2633
(562) 658-2922
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64093
DENTIST
CA
Enumeration date
10/29/2021
Last updated
10/29/2021
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