Individual
DR. MARLEE G HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
855 A AVE NE STE LL1, CEDAR RAPIDS, IA 52402-5064
(319) 369-7730
Mailing address
855 A AVE NE STE LL1, CEDAR RAPIDS, IA 52402-5064
(319) 369-7730
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.030462
IL
1223P0221X
Pediatric Dentistry
Primary
DDS-09967
IA
Other
Enumeration date
05/11/2015
Last updated
04/28/2022
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