Provider Demographics
NPI:1770932360
Name:MAHA HANNA DDS INC
Entity type:Organization
Organization Name:MAHA HANNA DDS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST & OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MAHA
Authorized Official - Middle Name:M
Authorized Official - Last Name:HANNA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:310-534-2633
Mailing Address - Street 1:3710 PACIFIC COAST HWY
Mailing Address - Street 2:STE 101
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505
Mailing Address - Country:US
Mailing Address - Phone:310-534-2633
Mailing Address - Fax:424-247-8111
Practice Address - Street 1:3710 PACIFIC COAST HWY
Practice Address - Street 2:STE 101
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505
Practice Address - Country:US
Practice Address - Phone:310-534-2633
Practice Address - Fax:424-247-8111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-06
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA425431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty