Individual
DEAN H HATTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
001231
WA
152W00000X
Optometrist
Primary
2106
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H3450
—
NM
Enumeration date
03/15/2006
Last updated
08/01/2016
Update your record
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