Organization
ATEF E.HANA, D.D.S, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ATEF HANA SR. DDS (OWNER)
(626) 203-1934
Entity
Organization
Contact information
Practice address
2836 W RIALTO AVE STE A, RIALTO, CA 92376-6816
(909) 820-9454
(909) 820-9482
Mailing address
2836 W RIALTO AVE STE A, RIALTO, CA 92376-6816
(909) 820-9454
(909) 820-9482
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437219003
—
CA
Enumeration date
02/04/2019
Last updated
02/04/2019
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