Organization
GODDARD ORTHODONTICS PA
Active
Other names
Hansen Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEVI HANSEN DMD, MS (DOCTOR)
(316) 722-6717
Entity
Organization
Contact information
Practice address
19931 W KELLOGG DR, GODDARD, KS 67052-8863
(316) 722-6717
Mailing address
308 N HARRISON AVE, SEDGWICK, KS 67135-9477
(316) 652-5321
(316) 722-1371
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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