Individual
DR. MARK G HANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
347 FRONT ST, BEREA, OH 44017-1771
(440) 243-6724
(440) 243-5962
Mailing address
347 FRONT ST, BEREA, OH 44017-1771
(440) 243-6724
(440) 243-5962
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
16067
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0710681
—
OH
Enumeration date
11/13/2006
Last updated
07/08/2007
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