MEDICARE: DR. EVELINE HAMDANI 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	1223G0001X	General Practice Dentistry	DDS101378	CA
2	1223G0001X	General Practice Dentistry	DS038701	PA
3	1223G0001X	General Practice Dentistry	DS038791	PA

General Provider Information

NPI Number	:	1730463142
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EVELINE HAMDANI DMD

Provider Business Mailing Address
First Line	:	16511 GOLDENWEST ST STE 107
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92647-4484
Country	:	US
Telephone Number	:	714-951-9000
Fax Number	:

Provider Business Practice Location Address
First Line	:	16511 GOLDENWEST ST STE 107
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92647-4484
Country	:	US
Telephone Number	:	714-951-9000
Fax Number	:

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

Provider Enumeration Date	:	10/04/2011
Last Update Date	:	04/06/2026

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