Organization
HANNA HANANIA DDS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTAL LYNN ALLEN-ROARK (PRACTICE ADMINISTRATOR)
(703) 897-8554
Entity
Organization
Contact information
Practice address
4319 DALE BLVD, WOODBRIDGE, VA 22193-2401
(703) 897-8554
(703) 897-9615
Mailing address
4319 DALE BLVD, WOODBRIDGE, VA 22193-2401
(703) 897-8554
(703) 897-9615
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401410445
VA
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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