Individual
CRYSTAL HANANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
10165 FOOTHILL BLVD STE 4, RANCHO CUCAMONGA, CA 91730-0341
(909) 945-2273
Mailing address
2112 DEER HAVEN DR, CHINO HILLS, CA 91709-4853
(323) 600-3122
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
104822
CA
Other
Enumeration date
04/03/2018
Last updated
12/07/2021
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