Individual
DR. CLARENCE H HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
407 E IOWA, HOLBROOK, AZ 86025
(928) 524-6854
(928) 524-1158
Mailing address
407 E IOWA, HOLBROOK, AZ 86025
(928) 524-6854
(928) 524-1158
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5895
AZ
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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