# HAROLD R. HANEFIELD D.D.S., INC

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

## Provider details

- **NPI number:** 1235457136
- **Authorized official:** DR. HAROLD RICHARD HANEFIELD D.D.S (PRESIDENT)
- **Authorized official phone:** (916) 443-6692

## Contact information

- **Practice address:** 1115 12TH ST STE 2A, SACRAMENTO, CA 95814-3903
- **Practice address phone:** (916) 443-6692
- **Practice address fax:** (916) 443-5836
- **Mailing address:** 1115 12TH ST STE 2A, SACRAMENTO, CA 95814-3903
- **Mailing address phone:** (916) 443-6692
- **Mailing address fax:** (916) 443-5836

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 24454 | CA | Yes |

## Other

- **Enumeration date:** 05/17/2010
- **Last updated:** 05/17/2010