Organization
CHRIS HANSEN DMD PA
Active
Other names
Comfort Care Dental of Pocatello
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS D HANSEN DMD (OWNER)
(208) 233-5362
Entity
Organization
Contact information
Practice address
333 W CEDAR ST, POCATELLO, ID 83201-5045
(208) 233-5362
(208) 234-8056
Mailing address
333 W CEDAR ST, POCATELLO, ID 83201-5045
(208) 233-5362
(208) 234-8056
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D4164
ID
Other
Enumeration date
06/15/2010
Last updated
06/15/2010
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