Organization
STEVEN Q. HANSEN D.D.S.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN Q. HANSEN D.D.S. (PRESIDENT)
(623) 937-9241
Entity
Organization
Contact information
Practice address
6040 N 43RD AVE, GLENDALE, AZ 85301-5488
(623) 937-9241
(623) 937-9241
Mailing address
6040 N 43RD AVE, GLENDALE, AZ 85301-5488
(623) 937-9241
(623) 937-9241
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2085
AZ
Other
Enumeration date
12/12/2007
Last updated
12/12/2007
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