Individual
DR. SPENCER MACK HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 JUDSON RD, LONGVIEW, TX 75601-3918
(903) 212-7737
Mailing address
1405 JUDSON RD, LONGVIEW, TX 75601-3918
(903) 212-7737
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30007
TX
Other
Enumeration date
01/04/2016
Last updated
10/24/2022
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