Individual
CRYSTAL SMITH HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1064 INDUSTRIAL PKWY, SARALAND, AL 36571-3720
(251) 675-4313
Mailing address
1919 7TH AVE S, BIRMINGHAM, AL 35233-2005
(205) 934-3387
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D.007203-C1
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2023
Last updated
08/03/2023
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