Individual
DR. JACQUELINE RENEE HANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MSD
Contact information
Practice address
26711 ALISO CREEK RD, SUITE 200C, ALISO VIEJO, CA 92656-4820
(949) 480-1202
(949) 940-8699
Mailing address
26711 ALISO CREEK RD, SUITE 200C, ALISO VIEJO, CA 92656-4820
(949) 480-1202
(949) 940-8699
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
41806
CA
Other
Enumeration date
08/20/2007
Last updated
08/20/2009
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