ROGER M. HANAWALT

LA VERNE, CA
NPI1861473357
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: CA  28704)
Enumeration Date2005-11-10
Last Update Date2007-11-13
Business Address
DR. ROGER M. HANAWALT D.D.S.
2450 D ST
LA VERNE, CA 91750-4416
Phone number: 909-593-4581
Mailing Address
DR. ROGER M. HANAWALT D.D.S.
2450 D ST
LA VERNE, CA 91750-4416
Phone number: 909-593-4581