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Organization

MILLER HANSEN, PLLC

Active
Parent organization
BLAINE R HANSEN, DMD MS
Other names
Hansen Miller Orthodontics
Organization subpart
Yes

Provider details

NPI number
Legal business name
BLAINE R HANSEN, DMD MS
Authorized official
DR. BLAINE ROLAND HANSEN DMD MS (CO-OWNER)
(702) 897-1611
Entity
Organization

Contact information

Practice address
1909 N GREEN VALLEY PKWY, HENDERSON, NV 89074-8352
(702) 897-1611
(702) 568-1983
Mailing address
1909 N GREEN VALLEY PKWY, HENDERSON, NV 89074-8352
(702) 897-1611
(702) 568-1983

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Enumeration date
03/29/2019
Last updated
03/29/2019
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