Individual
DR. HOMAN HANASAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
833 22ND ST, SANTA MONICA, CA 90403-2008
(310) 892-6631
Mailing address
833 22ND ST, SANTA MONICA, CA 90403-2008
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
53909
CA
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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