| Hersel Hanasab D.d.s., Inc. | |
|
12926 Sherman Way North Hollywood CA 91605-4953 | |
| (818) 765-4422 | |
| (818) 765-4681 |
| Full Name | Hersel Hanasab D.d.s., Inc. |
|---|---|
| Speciality | Dentist |
| Location | 12926 Sherman Way, North Hollywood, California |
| Authorized Official Name and Position | Hersel Hanasab (PRESIDENT) |
| Authorized Official Contact | 8187654422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hersel Hanasab D.d.s., Inc. 12926 Sherman Way North Hollywood CA 91605-4953 Ph: (818) 765-4422 | Hersel Hanasab D.d.s., Inc. 12926 Sherman Way North Hollywood CA 91605-4953 Ph: (818) 765-4422 |
| NPI Number | 1780748137 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780748137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 41918 (California) | Primary |
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