Individual
DR. HEATHER HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2201 N 400 E, NORTH OGDEN, UT 84414-7210
(801) 782-6681
(801) 786-0539
Mailing address
2201 N 400 E, NORTH OGDEN, UT 84414-7210
(801) 782-6681
(801) 786-0539
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6259535-9921
UT
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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