Organization
LEVI M. HANSEN, DMD, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEVI HANSEN (PRESIDENT)
(316) 722-6717
Entity
Organization
Contact information
Practice address
881 N TYLER RD, WICHITA, KS 67212-3200
(316) 722-6717
Mailing address
881 N TYLER RD, WICHITA, KS 67212-3200
(316) 722-6717
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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