| Hanawalt Wes Dental Corporation | |
|
2450 D St La Verne CA 91750-4416 | |
| (909) 593-4581 | |
| Not Available |
| Full Name | Hanawalt Wes Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2450 D St, La Verne, California |
| Authorized Official Name and Position | Peri Lynn Hanawalt Wes (OWNER/DENTIST) |
| Authorized Official Contact | 9092380395 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hanawalt Wes Dental Corporation 2450 D St La Verne CA 91750-4416 Ph: (909) 593-4581 | Hanawalt Wes Dental Corporation 2450 D St La Verne CA 91750-4416 Ph: (909) 593-4581 |
| NPI Number | 1427625581 |
|---|---|
| Provider Enumeration Date | 06/08/2021 |
| Last Update Date | 06/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427625581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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