Individual
J MARC HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
166 W COLLEGE ST, COVINA, CA 91723
(626) 966-5622
(626) 966-8570
Mailing address
166 W COLLEGE ST, COVINA, CA 91723
(626) 966-5622
(626) 966-8570
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
35265
CA
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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