Individual
ROBERT HANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9201 EAGLE RANCH RD NW, ALBUQUERQUE, NM 87114-6032
(505) 892-9010
Mailing address
9201 EAGLE RANCH RD, ALBUQUERQUE, NM 87114
(505) 892-9010
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DD4517
NM
Other
Enumeration date
06/09/2016
Last updated
06/24/2016
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