Individual
DR. KEVIN J HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
47 PLAZA ST W, BROOKLYN, NY 11217-3905
(718) 783-0530
Mailing address
111 WORTH ST, SUITE 4R, NEW YORK, NY 10013-4008
(718) 783-0530
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
052345
NY
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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