Individual
ALLYSON AYMS HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3057 GENTILLY BLVD, NEW ORLEANS, LA 70122-3807
(504) 208-1427
Mailing address
3057 GENTILLY BLVD, NEW ORLEANS, LA 70122-3807
(504) 208-1427
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6520
LA
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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