Organization
NAZARETH DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUHAIR SALIM HANHAN DDS (OWNER/DENTIST)
(650) 871-5217
Entity
Organization
Contact information
Practice address
800 S B ST STE 200, SAN MATEO, CA 94401-4273
(650) 871-5217
(650) 588-6590
Mailing address
800 S B ST STE 200, SAN MATEO, CA 94401-4273
(650) 871-5217
(650) 588-6590
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
52989
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902974397
NPPES
CA
Enumeration date
12/02/2015
Last updated
12/02/2015
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