Individual
DR. STAN HANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
USC SCHOOL OF DENTISTRY 925 W 34TH ST, ORAL AND MAXILLOFACIAL SURGERY DEPT, LOS ANGELES, CA 90089-0001
(213) 740-8112
Mailing address
PO BOX 10054, ZEPHYR COVE, NV 89448-2054
(775) 762-5094
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
17475
CA
Other
Enumeration date
03/06/2010
Last updated
03/06/2010
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