Individual
AYAT HASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27901 LA PAZ RD STE D, LAGUNA NIGUEL, CA 92677-3932
(714) 728-1493
Mailing address
16009 LEGACY RD UNIT 403, TUSTIN, CA 92782-2806
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
110453
CA
Other
Enumeration date
01/16/2025
Last updated
04/07/2025
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