# AMANDA HANNA DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174287668
- **Authorized official:** DR. AMANDA H ARCHIE DDS (OWNER DENTIST)
- **Authorized official phone:** (310) 534-2633

## Contact information

- **Practice address:** 3710 PACIFIC COAST HWY STE 101, TORRANCE, CA 90505-5914
- **Practice address phone:** (310) 534-2633
- **Practice address fax:** (562) 658-2922
- **Mailing address:** 3710 PACIFIC COAST HWY STE 101, TORRANCE, CA 90505-5914
- **Mailing address phone:** (310) 534-2633
- **Mailing address fax:** (562) 658-2922

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | — |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/29/2021
- **Last updated:** 10/29/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 64093 | DENTIST | CA |