Individual
DR. SHANE S HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2205 SIOUX AVE, HOT SPRINGS, SD 57747-1527
(605) 891-8704
Mailing address
2205 SIOUX AVE, HOT SPRINGS, SD 57747-1527
(605) 891-8704
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61181691
WA
Other
Enumeration date
05/17/2021
Last updated
06/26/2023
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