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Organization
HOMAN HANASAB D.D.S. INC.
Active
Organization
HOMAN HANASAB D.D.S. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOMAN HANASAB (PRESIDENT)
(310) 892-6631
Entity
Organization
Contact information
Practice address
1580 MANNING AVE APT 302, LOS ANGELES, CA 90024-6086
(310) 892-6631
Mailing address
1580 MANNING AVE APT 302, LOS ANGELES, CA 90024-6086
(310) 892-6631
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
53909
CA
Other
Enumeration date
08/06/2008
Last updated
08/06/2008
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