Individual
DANIELLA HANASABZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1455 GLENVILLE DR, LOS ANGELES, CA 90035-3121
(310) 689-6969
Mailing address
1455 GLENVILLE DR, LOS ANGELES, CA 90035-3121
(310) 689-6969
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
107693
CA
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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