Organization
DR. NEIL A. HANSEN, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL HANSEN (DENTIST)
(425) 455-0442
Entity
Organization
Contact information
Practice address
12330 NE 8TH ST, SUITE 200, BELLEVUE, WA 98005
(425) 455-0442
Mailing address
12330 NE 8TH ST, SUITE 200, BELLEVUE, WA 98005-3187
(425) 455-0442
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5576
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689783623
DENTIST
—
Enumeration date
08/13/2010
Last updated
08/13/2010
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