Provider Demographics
NPI:1154418077
Name:HANANIAN, JULIET HAGHIGHAT (DDS)
Entity type:Individual
Prefix:
First Name:JULIET
Middle Name:HAGHIGHAT
Last Name:HANANIAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25071 ROSEBRUGH LN
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92544-1975
Mailing Address - Country:US
Mailing Address - Phone:951-834-5977
Mailing Address - Fax:951-894-7697
Practice Address - Street 1:39252 WINCHESTER RD
Practice Address - Street 2:SUITE 117
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-3509
Practice Address - Country:US
Practice Address - Phone:951-894-7769
Practice Address - Fax:951-894-7697
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA451091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice