NPI 1619792645 · live from the CMS NPI Registry
M Hani M Hassan Abbara
Dentist in Arroyo Grande, CA. National Provider Identifier 1619792645, active.
NPI record
| NPI | 1619792645 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 1237 E Grand Ave # 102, Arroyo Grande, CA 93420 |
| Practice phone | 316-768-0285 |
| Mailing address | 2905 N Fox Pointe Cir, Wichita, KS 67226 |
| Enumerated | November 15, 2024 |
| Last updated | November 15, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | 109886 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.