Organization
WESLEY L HANSON, DDS, MSD, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WESLEY L HANSON JR. D.D.S., M.S.D. (PRESIDENT)
(360) 779-4556
Entity
Organization
Contact information
Practice address
1040 NE HOSTMARK ST, SUITE 100A, POULSBO, WA 98370-7337
(360) 779-4556
Mailing address
1040 NE HOSTMARK ST, SUITE 100A, POULSBO, WA 98370-7337
(360) 779-4556
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DE6404
WA
Other
Enumeration date
05/13/2007
Last updated
06/14/2013
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