Organization
GREENHORN FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT TRENT HANSEN (OWNER)
(316) 300-9114
Entity
Organization
Contact information
Practice address
4130 REDWOOD LN UNIT 130, PUEBLO, CO 81005-3292
(719) 564-1102
Mailing address
4130 REDWOOD LN UNIT 130, PUEBLO, CO 81005-3292
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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