Individual
DENA S HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1025 PORTION RD, FARMINGVILLE, NY 11738-2291
(631) 696-0100
Mailing address
1025 PORTION RD, FARMINGVILLE, NY 11738-2291
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
055826-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695941
—
NY
Enumeration date
09/22/2011
Last updated
07/30/2015
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