Individual
KEVIN REED HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4011 W MCDOWELL ROAD, PHOENIX, AZ 85009-2112
(602) 352-0033
(602) 352-0036
Mailing address
4011 W MCDOWELL ROAD, PHOENIX, AZ 85009-2112
(602) 352-0033
(602) 352-0036
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4074
AZ
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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