# CHERRY DENTAL

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

## Provider details

- **NPI number:** 1467842823
- **Authorized official:** DR. AMANDA HANNA DDS (ASSOCIATE DENTIST)
- **Authorized official phone:** (310) 780-0106

## Contact information

- **Practice address:** 30057 VIA VICTORIA, RANCHO PALOS VERDES, CA 90275-4435
- **Practice address phone:** (310) 780-0106
- **Mailing address:** 6616 CHERRY AVE, LONG BEACH, CA 90805-1715
- **Mailing address phone:** (562) 630-5616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |
| 305R00000X | Preferred Provider Organization | — | NULL | — |

## Other

- **Enumeration date:** 01/23/2015
- **Last updated:** 01/23/2015