Organization
PARKWAY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN HANSON M.D. (DENTIST)
(970) 208-8046
Entity
Organization
Contact information
Practice address
1300 N 7TH ST, GRAND JUNCTION, CO 81501-3062
(970) 208-8046
Mailing address
1300 N 7TH ST, GRAND JUNCTION, CO 81501-3062
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN.00201846
CO
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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