Individual
DOUGLAS L HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
629 E STAR CT, MONTROSE, CO 81401-6701
(970) 249-3330
(970) 249-4171
Mailing address
629 E STAR CT, MONTROSE, CO 81401-6701
(970) 249-3330
(970) 249-4171
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6675
CO
Other
Enumeration date
04/24/2007
Last updated
03/02/2016
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