Provider Demographics
NPI:1447635115
Name:HANHAN, NARMEN JIRIES (DMD, MPH)
Entity type:Individual
Prefix:MS
First Name:NARMEN
Middle Name:JIRIES
Last Name:HANHAN
Suffix:
Gender:F
Credentials:DMD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 S B ST STE 200
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-4273
Mailing Address - Country:US
Mailing Address - Phone:650-458-9990
Mailing Address - Fax:650-458-9977
Practice Address - Street 1:800 S B ST STE 200
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-4273
Practice Address - Country:US
Practice Address - Phone:650-458-9990
Practice Address - Fax:650-458-9977
Is Sole Proprietor?:No
Enumeration Date:2015-07-23
Last Update Date:2015-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA63821122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist