Individual
DR. CARMEN HA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
2050 S BROADWAY, STE E, SANTA MARIA, CA 93454-8801
(805) 925-3717
Mailing address
2050 S BROADWAY, STE E, SANTA MARIA, CA 93454-8801
(805) 925-3717
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
54821
CA
Other
Enumeration date
07/16/2007
Last updated
12/02/2009
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