Individual
SARAH ANNE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3264 N GLASSFORD HILL RD STE A, PRESCOTT VALLEY, AZ 86314-1353
(928) 759-8000
Mailing address
1160 DEERFIELD RD, PRESCOTT, AZ 86303-5359
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D010078
AZ
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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