MEDICARE: DR. HANNAH PEARL ROBIN DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DDS108732	CA

General Provider Information

NPI Number	:	1821782947
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HANNAH PEARL ROBIN DMD

Provider Business Mailing Address
First Line	:	850 W TOWN AND COUNTRY RD UNIT 437
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92868-5660
Country	:	US
Telephone Number	:	425-765-1179
Fax Number	:

Provider Business Practice Location Address
First Line	:	9842 ADAMS AVE STE 106
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92646-4827
Country	:	US
Telephone Number	:	714-968-4907
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2023
Last Update Date	:	06/05/2023

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