Provider Demographics
NPI:1306609110
Name:AL-NAQSHABANDI, HASAN SAHAL (DDS)
Entity type:Individual
Prefix:
First Name:HASAN
Middle Name:SAHAL
Last Name:AL-NAQSHABANDI
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 1:32070 CALLE BALAREZA
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-3973
Mailing Address - Country:US
Mailing Address - Phone:760-912-4982
Mailing Address - Fax:
Practice Address - Street 1:32070 CALLE BALAREZA
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-3973
Practice Address - Country:US
Practice Address - Phone:760-912-4982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1098191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice