Individual
PAUL FREDRICK HANNAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2807 LOMA VISTA RD, #102, VENTURA, CA 93003-1500
(805) 643-1266
(805) 643-2496
Mailing address
2807 LOMA VISTA RD, # 102, VENTURA, CA 93003-1500
(805) 643-1266
(805) 643-2496
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
027524
CA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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