Organization
HASSANI AND NGO PEDIATRIC DENTAL PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANIEH HASSANI DDS, MSD (PARTNER)
(310) 968-5574
Entity
Organization
Contact information
Practice address
1202 BRISTOL ST STE 140, COSTA MESA, CA 92626-8606
(712) 477-2906
Mailing address
1202 BRISTOL ST STE 140, COSTA MESA, CA 92626-8606
(712) 477-2906
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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