Individual
DANA HANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
112 IRONWORKS AVE STE B1, MISHAWAKA, IN 46544-2058
(574) 285-0460
Mailing address
408 W WESTERN AVE APT 2113, SOUTH BEND, IN 46601-2242
(317) 605-2536
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12013537A
IN
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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