| Willard Hankins Jr., D.d.s., Inc. | |
|
5509 E Spring St Long Beach CA 90808-3736 | |
| (562) 421-8206 | |
| (562) 497-1885 |
| Full Name | Willard Hankins Jr., D.d.s., Inc. |
|---|---|
| Speciality | Preferred Provider Organization |
| Location | 5509 E Spring St, Long Beach, California |
| Authorized Official Name and Position | Willard Hankins (CEO) |
| Authorized Official Contact | 5624218206 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willard Hankins Jr., D.d.s., Inc. 5509 E Spring St Long Beach CA 90808-3736 Ph: (562) 421-8206 | Willard Hankins Jr., D.d.s., Inc. 5509 E Spring St Long Beach CA 90808-3736 Ph: (562) 421-8206 |
| NPI Number | 1225125446 |
|---|---|
| Provider Enumeration Date | 10/08/2006 |
| Last Update Date | 01/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225125446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 36552 (California) | Secondary |
| 305R00000X | Preferred Provider Organization | 36552 (California) | Primary |
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