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Contact Information

RENNA U HAZBOUN, DMD
10833 LE CONTE AVE
RM 33-039 (AEGD)
LOS ANGELES, CA90073
 Phone:
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for RENNA U HAZBOUN · (Female)

NPI Number 1578859807
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 06/24/2011
Last updated 05/02/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 62199
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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