Individual
ISAAC LEON HANSET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1201 SE 223RD AVE STE 260, GRESHAM, OR 97030-2580
(503) 661-2828
(503) 618-9874
Mailing address
1201 SE 223RD AVE STE 260, GRESHAM, OR 97030-2580
(503) 661-2828
(503) 618-9874
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
104930
CA
Other
Enumeration date
10/21/2020
Last updated
07/18/2022
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