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NPI Code Detail

MEDICARE: DR. BARRY DAVID HANIK DDS

MEDICARE: DR. BARRY DAVID HANIK DDS
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
11223G0001XGeneral Practice Dentistry20534CA

General Provider Information

NPI Number : 1336286830
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BARRY DAVID HANIK DDS
Provider Business Mailing Address
First Line : 9110 ADAMS AVE
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92646-3405
Country : US
Telephone Number : 714-968-4487
Fax Number : 714-968-1146
Provider Business Practice Location Address
First Line : 9110 ADAMS AVE
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92646-3405
Country : US
Telephone Number : 714-968-4487
Fax Number : 714-968-1146
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2007
Last Update Date : 07/08/2007

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