Individual
BRENNAN GARTH HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4616 MONTEVALLO RD, IRONDALE, AL 35210-3104
(205) 202-9540
Mailing address
1691 ASHWOOD LN, HOMEWOOD, AL 35209-1259
(307) 315-7301
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D.007223-C1
AL
Other
Enumeration date
03/29/2023
Last updated
09/09/2024
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