Individual
BRANDON NAJEEB HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11147 LALANI DR, LA MESA, CA 91941-8209
(619) 402-5896
Mailing address
11147 LALANI DR, LA MESA, CA 91941-8209
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
110227
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2023
Last updated
08/21/2024
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