Individual
DR. NATHAN EDWARD HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8490 S POWER RD STE 106, GILBERT, AZ 85297-8029
(480) 988-7200
Mailing address
1139 S LYN RAE SQ, MESA, AZ 85204-5406
(480) 203-5568
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5537
AZ
Other
Enumeration date
09/22/2006
Last updated
02/06/2009
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