| Hanawalt Dental Corporation | |
|
2450 D St La Verne CA 91750-4416 | |
| (909) 593-4581 | |
| Not Available |
| Full Name | Hanawalt Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2450 D St, La Verne, California |
| Authorized Official Name and Position | Roger M Hanawalt (OWNER) |
| Authorized Official Contact | 9095934581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hanawalt Dental Corporation 2450 D St La Verne CA 91750-4416 Ph: (909) 593-4581 | Hanawalt Dental Corporation 2450 D St La Verne CA 91750-4416 Ph: (909) 593-4581 |
| NPI Number | 1962890632 |
|---|---|
| Provider Enumeration Date | 01/05/2015 |
| Last Update Date | 01/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962890632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 124Q00000X | Dental Hygienist | (* (Not Available)) | Secondary |
Inland Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1131 Foothill Blvd, La Verne, CA 91750 Phone: 909-596-6551 | |
Dental Care Of La Verne Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2321 Foothill Blvd, La Verne, CA 91750 Phone: 909-596-1861 | |
Inland Dental Group Of Hemant V. Patel Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1131 Foothill Blvd, La Verne, CA 91750 Phone: 909-596-6551 Fax: 909-596-0925 | |
Nigoghosian Dental Group Inc Dental Clinic Medicare: Medicare Enrolled Practice Location: 2488 Foothill Blvd Ste C, La Verne, CA 91750 Phone: 909-596-1155 | |
La Verne Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2216 Foothill Blvd, La Verne, CA 91750 Phone: 909-392-3899 Fax: 909-392-1133 | |
Foothill Family Dental Office Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1516 Foothill Blvd, La Verne, CA 91750 Phone: 909-596-4811 Fax: 909-596-5102 | |
Newport Dental - La Verne (ortho) Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2497 Foothill Blvd, Ste E, La Verne, CA 91750 Phone: 909-451-0329 |