Organization
DOUGLAS L. HANSEN, D.D.S. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS P HEINER D.D.S (MANAGEING PARTNER)
(970) 249-3330
Entity
Organization
Contact information
Practice address
629 E STAR CT, MONTROSE, CO 81401-6701
(970) 249-3330
(970) 249-4171
Mailing address
629 E STAR CT, MONTROSE, CO 81401-6701
(970) 249-3330
(970) 249-4171
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
CO
Other
Enumeration date
10/05/2006
Last updated
08/19/2009
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