Individual
HAHNNAH PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
510 W RANCHO VISTA BLVD, PALMDALE, CA 93551-3737
(661) 202-3052
Mailing address
37325 PAINTBRUSH DR, PALMDALE, CA 93551-6173
(609) 864-4487
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DDS108685
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
LL-542-20
NV
Other
Enumeration date
06/03/2020
Last updated
04/10/2023
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