# CHRIS HANSEN DMD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Comfort Care Dental of Pocatello
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053632919
- **Authorized official:** DR. CHRIS D HANSEN DMD (OWNER)
- **Authorized official phone:** (208) 233-5362

## Contact information

- **Practice address:** 333 W CEDAR ST, POCATELLO, ID 83201-5045
- **Practice address phone:** (208) 233-5362
- **Practice address fax:** (208) 234-8056
- **Mailing address:** 333 W CEDAR ST, POCATELLO, ID 83201-5045
- **Mailing address phone:** (208) 233-5362
- **Mailing address fax:** (208) 234-8056

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | D4164 | ID | Yes |

## Other

- **Enumeration date:** 06/15/2010
- **Last updated:** 06/15/2010