Dr. Jacqueline Renee Hanks, DDS, MSD
Dentist, Orthodontics and Dentofacial Orthopedics in Aliso Viejo, CA. Individual provider (NPI-1).
NPI number1497948897
StatusActive
Last updated in NPPESAug 20, 2009
Details
- NPI
- 1497948897
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jacqueline Renee Hanks
- Credential
- DDS, MSD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2007
- Last updated
- Aug 20, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 41806 | CA | Yes |
Practice location
26711 Aliso Creek RdSuite 200c
Aliso Viejo, CA 92656-4820
Phone 949-480-1202 · Fax 949-940-8699
Mailing address
26711 Aliso Creek RdSuite 200c
Aliso Viejo, CA 92656-4820
Phone 949-480-1202 · Fax 949-940-8699
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