Individual
DR. CHRISTOPHER DARREL HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3550 WASHINGTON PKWY, IDAHO FALLS, ID 83404-4968
(208) 524-2300
Mailing address
3550 WASHINGTON PARKWAY, IDAHO FALLS, ID 83404-6475
(208) 524-2300
(208) 545-8447
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
7022232-9922
UT
1223G0001X
General Practice Dentistry
Primary
D4164
ID
Other
Enumeration date
07/17/2008
Last updated
08/10/2017
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