Individual
AMANDA HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
6616 CHERRY AVE, LONG BEACH, CA 90805-1715
(310) 780-0106
Mailing address
30057 VIA VICTORIA, RANCHO PALOS VERDES, CA 90275-4435
(310) 780-0106
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
64093
CA
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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