Individual
DR. BENJAMIN LAWRENCE HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
19249 ALLEN RD, BROWNSTOWN TWP, MI 48183-1189
(734) 615-8606
Mailing address
16866 HORSESHOE DR, NORTHVILLE, MI 48168-8586
(248) 765-4272
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901020183
MI
Other
Enumeration date
06/16/2010
Last updated
07/05/2012
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