Individual
DR. SARA HANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4119 HUMBERT RD, ALTON, IL 62002-7116
(618) 465-8100
Mailing address
1610 HENRY ST, ALTON, IL 62002-3557
(618) 980-4675
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.031175
IL
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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