Provider Demographics
NPI:1891560892
Name:HANNAH HONG DMD INC
Entity Type:Organization
Organization Name:HANNAH HONG DMD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:S
Authorized Official - Last Name:HONG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:310-633-4560
Mailing Address - Street 1:28201 MARGUERITE PKWY STE 10
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92692-3719
Mailing Address - Country:US
Mailing Address - Phone:948-431-5481
Mailing Address - Fax:
Practice Address - Street 1:28201 MARGUERITE PKWY STE 10
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92692-3719
Practice Address - Country:US
Practice Address - Phone:948-431-5481
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No122300000XDental ProvidersDentistGroup - Multi-Specialty