Roger Hanawalt, D.D.S

NPI 1861473357 · on the registry since 2005 · sole proprietor

Practice

Address: 2450 D St
La Verne, CA 91750
Phone: (909) 593-4581
Fax: (909) 593-4129
Organisation at this address: Hanawalt Dental Corporation
Hanawalt Wes Dental Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-11-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California