Provider Demographics
NPI:1316395478
Name:HANDA, AASHNA (DDS)
Entity Type:Individual
Prefix:DR
First Name:AASHNA
Middle Name:
Last Name:HANDA
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 1:303 INNSDALE TER
Mailing Address - Street 2:APT # D
Mailing Address - City:CLOVIS
Mailing Address - State:NM
Mailing Address - Zip Code:88101-3025
Mailing Address - Country:US
Mailing Address - Phone:213-290-8161
Mailing Address - Fax:
Practice Address - Street 1:19690 INTERSTATE 35 S
Practice Address - Street 2:
Practice Address - City:LYTLE
Practice Address - State:TX
Practice Address - Zip Code:78052-3492
Practice Address - Country:US
Practice Address - Phone:830-772-5600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-31
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX318331223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry