Provider Demographics
NPI:1437219003
Name:HANA, ATEF E (DDS)
Entity Type:Individual
Prefix:DR
First Name:ATEF
Middle Name:E
Last Name:HANA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 E GLADSTONE ST
Mailing Address - Street 2:
Mailing Address - City:AZUSA
Mailing Address - State:CA
Mailing Address - Zip Code:91702-4747
Mailing Address - Country:US
Mailing Address - Phone:626-203-1934
Mailing Address - Fax:626-332-3001
Practice Address - Street 1:910 E GLADSTONE ST
Practice Address - Street 2:
Practice Address - City:AZUSA
Practice Address - State:CA
Practice Address - Zip Code:91702-4747
Practice Address - Country:US
Practice Address - Phone:626-332-3000
Practice Address - Fax:626-332-3001
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54147122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist