Individual
DR. HANNA BRODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS MS
Contact information
Practice address
2200 LARKSPUR LANDING CIR, LARKSPUR, CA 94939-1821
(415) 461-5280
Mailing address
707 PARNASSUS AVE RM D3015, SAN FRANCISCO, CA 94143-2210
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
104566
CA
1223P0300X
Periodontics
Primary
104566
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104566
DENTAL BOARD OF CALIFORNIA
CA
Enumeration date
12/10/2019
Last updated
08/31/2022
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