Organization
JILL E. HANSEN DDS, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL E HANSEN DDS (PRESIDENT)
(253) 858-9169
Entity
Organization
Contact information
Practice address
6659 KIMBALL DR, SUITE D401, GIG HARBOR, WA 98335-5137
(253) 858-9169
(253) 853-6681
Mailing address
6659 KIMBALL DR, SUITE D401, GIG HARBOR, WA 98335-5137
(253) 858-9169
(253) 853-6681
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8740
WA
Other
Enumeration date
04/17/2007
Last updated
07/15/2008
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