Bass Hanson, DDS

NPI #1306069505 in Lennox, California

Provider Information

NPI Number: 1306069505
Entity Type: Individual
Name: Bass Hanson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Apr 10, 2007
Last Updated: Apr 25, 2013

Practice Location

Address: 10823 HAWTHORNE BLVD STE A
City: Lennox
State: California
ZIP Code: 90304-4322
Phone: (310) 412-8013

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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