Individual
WESLEY LOUIS HANSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1040 NE HOSTMARK ST, SUITE 100A, POULSBO, WA 98370-7337
(360) 779-4556
(360) 779-1212
Mailing address
1040 NE HOSTMARK ST, SUITE 100A, POULSBO, WA 98370-7337
(360) 779-4556
(360) 779-1212
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DE6404
WA
Other
Enumeration date
06/24/2013
Last updated
06/24/2013
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