Provider Demographics
NPI:1376205468
Name:GABRIEL, HANA (DDS)
Entity type:Individual
Prefix:
First Name:HANA
Middle Name:
Last Name:GABRIEL
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 1:10064 ALBEE AVE
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92782-1452
Mailing Address - Country:US
Mailing Address - Phone:669-377-4063
Mailing Address - Fax:
Practice Address - Street 1:17245 17TH ST STE D
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-1980
Practice Address - Country:US
Practice Address - Phone:669-377-4063
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-06
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106301122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist