Provider Demographics
NPI:1942361175
Name:ALHAOUASLI, HASSAN HAMAMI (DDS)
Entity type:Individual
Prefix:MR
First Name:HASSAN
Middle Name:HAMAMI
Last Name:ALHAOUASLI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10810 WARNER AVE
Mailing Address - Street 2:#1
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708
Mailing Address - Country:US
Mailing Address - Phone:714-965-1093
Mailing Address - Fax:714-965-1083
Practice Address - Street 1:10810 WARNER AVE
Practice Address - Street 2:#1
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708
Practice Address - Country:US
Practice Address - Phone:714-965-1093
Practice Address - Fax:714-965-1083
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA68215122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist