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1861473357
ROGER M. HANAWALT
LA VERNE, CA
NPI
1861473357
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 28704)
Enumeration Date
2005-11-10
Last Update Date
2007-11-13
Business Address
Dr. ROGER M. HANAWALT D.D.S.
2450 D ST
LA VERNE, CA 91750-4416
Phone number: 909-593-4581
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Mailing Address
Dr. ROGER M. HANAWALT D.D.S.
2450 D ST
LA VERNE, CA 91750-4416
Phone number: 909-593-4581
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