Most Relevant Information
Provider Data
| NPI Number: | 1003661588 |
| Provider Name: | NANSY HANNA DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/18/2024 |
| Last Updated: | 04/18/2024 |
Provider Practice Location
30 PROSPECT AVE
HACKENSACK
NJ
076011915
Practice Location Phone/Fax
| Phone: | 5519963492 |
| Fax: |
Provider Mailing Location
30 PROSPECT AVE
HACKENSACK
NJ
076011915
Provider Mailing Phone/Fax
| Phone: | 5519963492 |
| Fax: |