Individual
DR. CORY HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
634 B ST, ANCHORAGE, AK 99505-6650
(907) 361-6028
Mailing address
634 B ST, ANCHORAGE, AK 99505-6650
(907) 361-6028
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
180475
AK
Other
Enumeration date
09/21/2021
Last updated
05/21/2024
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