Individual
DR. JAMES T HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
68 MILTON AVE, BALLSTON SPA, NY 12020-1405
(518) 885-1791
(518) 885-1147
Mailing address
1458 DIVISION ST, CHARLTON, NY 12019-2917
(518) 882-9342
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
046659
NY
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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