Individual
DR. MATTHEW CHRISTIAN HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7934 SW 80TH DR, GAINESVILLE, FL 32608-9534
(801) 920-4023
Mailing address
7934 SW 80TH DR, GAINESVILLE, FL 32608-9534
(801) 920-4023
Taxonomy
Speciality
Code
Description
License number
State
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
00203432
CO
1223X0008X
Oral and Maxillofacial Radiology Dentistry
059585
NY
1223X0008X
Oral and Maxillofacial Radiology Dentistry
DTP679
FL
Other
Enumeration date
04/02/2013
Last updated
02/26/2020
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