Individual
BASS HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10823 HAWTHORNE BLVD STE A, LENNOX, CA 90304-4322
(310) 412-8013
Mailing address
7172 HAWTHORN AVE APT 302, LOS ANGELES, CA 90046-3284
(213) 480-1382
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
48285
CA
Other
Enumeration date
04/10/2007
Last updated
04/25/2013
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