Provider Demographics
NPI:1962234997
Name:HARRINGER DENTAL CORP
Entity type:Organization
Organization Name:HARRINGER DENTAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:HARRINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-441-1167
Mailing Address - Street 1:1941 HUNTINGTON DR STE B
Mailing Address - Street 2:
Mailing Address - City:SOUTH PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91030-4993
Mailing Address - Country:US
Mailing Address - Phone:626-441-1167
Mailing Address - Fax:
Practice Address - Street 1:1941 HUNTINGTON DR STE B
Practice Address - Street 2:
Practice Address - City:SOUTH PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91030-4993
Practice Address - Country:US
Practice Address - Phone:626-441-1167
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty