Individual
ANNA HANOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23914 100TH AVE SE, KENT, WA 98031-4234
(253) 336-3000
Mailing address
23914 100TH AVE SE, KENT, WA 98031-4234
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61477232
WA
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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