Provider Demographics
NPI:1144420100
Name:AMINI, HANAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:HANAN
Middle Name:
Last Name:AMINI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 ARDEN WAY STE 4
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-2000
Mailing Address - Country:US
Mailing Address - Phone:916-481-4051
Mailing Address - Fax:916-481-4416
Practice Address - Street 1:3000 ARDEN WAY STE 4
Practice Address - Street 2:SUITE #1
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-2000
Practice Address - Country:US
Practice Address - Phone:916-481-4051
Practice Address - Fax:916-481-4416
Is Sole Proprietor?:No
Enumeration Date:2007-07-18
Last Update Date:2015-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA523401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice