Organization
ENGAGE ORTHODONTICS-HANSON SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK H HANSON DDS, MS (DOCTOR/OWNER)
(920) 884-2808
Entity
Organization
Contact information
Practice address
1756 CARDINAL LN, GREEN BAY, WI 54313-7121
(920) 884-2808
(920) 884-2966
Mailing address
1756 CARDINAL LN, GREEN BAY, WI 54313-7121
(920) 884-2808
(920) 884-2966
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/12/2021
Last updated
05/14/2021
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