Mariam G Hanna, D.D.S.
NPI #1043534159 in La Jolla, California
Provider Information
- NPI Number
- 1043534159
- Entity Type
- Individual
- Name
- Mariam G Hanna, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- D.D.S.
- Enumeration Date
- Mar 18, 2010
- Last Updated
- Jun 25, 2014
Practice Location
- Address
- 1711 CAMINITO ARDIENTE
- City
- La Jolla
- State
- California
- ZIP Code
- 92037-7134
- Phone
- (817) 846-2424
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Dentist |
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