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Individual

DR. GREG C HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
106 ST ANNES CHURCH ROAD, MIDDLETOWN, DE 19709-1495
(302) 378-8600
(302) 378-8602
Mailing address
106 ST ANNES CHURCH ROAD, MIDDLETOWN, DE 19709-1495
(302) 378-8600
(302) 378-8602

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
G10000951
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000926008
DE
Enumeration date
12/13/2006
Last updated
07/08/2007
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