Individual
DR. CHRISTOPHER STEPHEN HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
701 S COLLEGE AVE, SALEM, VA 24153-5167
(540) 389-0491
Mailing address
1109 DICKORY AVE APT 230, RIVER RIDGE, LA 70123-2585
(425) 299-1485
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401415993
VA
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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