Organization
WHITE PEAK DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN DOUGLAS HANSEN DMD (DENTIST)
(801) 293-1234
Entity
Organization
Contact information
Practice address
6800 S HIGHLAND DR STE 100, COTTONWOOD HEIGHTS, UT 84121-3067
(801) 293-1234
(801) 305-3683
Mailing address
6800 S HIGHLAND DR STE 100, COTTONWOOD HEIGHTS, UT 84121-3067
(801) 293-1234
(801) 305-3683
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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