Individual
CHARLIE KALEEL HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
145 OAK ST, WEST HEMPSTEAD, NY 11552-2133
(516) 481-5636
Mailing address
145 OAK ST, WEST HEMPSTEAD, NY 11552-2133
(516) 481-5636
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
38512
NY
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
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