Individual
DR. PAMELA RAE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS MS
Contact information
Practice address
20855 WATERTOWN RD, SUITE 240, WAUKESHA, WI 53186
(262) 798-1421
(262) 798-1494
Mailing address
20855 WATERTOWN RD, SUITE 240, WAUKESHA, WI 53186
(262) 798-1421
(262) 798-1494
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4074 015
WI
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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