Individual
DR. JEFFREY VAL HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1747 HERITAGE LN STE B203, SYRACUSE, UT 84075-8532
(801) 525-1725
(801) 525-0988
Mailing address
1747 HERITAGE LN STE B203, SYRACUSE, UT 84075-8532
(801) 525-1725
(801) 525-0988
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
370824-9922
UT
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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