Organization
HAROLD R. HANEFIELD D.D.S., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD RICHARD HANEFIELD D.D.S (PRESIDENT)
(916) 443-6692
Entity
Organization
Contact information
Practice address
1115 12TH ST STE 2A, SACRAMENTO, CA 95814-3903
(916) 443-6692
(916) 443-5836
Mailing address
1115 12TH ST STE 2A, SACRAMENTO, CA 95814-3903
(916) 443-6692
(916) 443-5836
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
24454
CA
Other
Enumeration date
05/17/2010
Last updated
05/17/2010
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