Individual
DR. JASON L HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5731 SILVERSTONE TERRACE, SUITE 270, COLORADO SPRINGS, CO 80919
(719) 598-0851
(719) 598-1579
Mailing address
1544 MESA AVE, COLORADO SPRINGS, CO 80906-3121
(719) 593-2285
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7268
CO
Other
Enumeration date
02/22/2006
Last updated
07/08/2007
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