Individual
DR. THOMAS WALTER HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
792 6TH ST, DAWSON, MN 56232-0456
(320) 769-4756
(320) 769-4756
Mailing address
PO BOX 456, 792 6TH ST, DAWSON, MN 56232-0456
(320) 769-4756
(320) 769-4756
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9171
MN
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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