Individual
DR. JOSEPH EDWARD HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1001 RIO VISTA DR, FALLON, NV 89406-5463
(775) 423-3634
(775) 423-5694
Mailing address
PO BOX 450, ALAMO, NV 89001-0450
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5934174-9921
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649260647
—
NV
Enumeration date
10/21/2005
Last updated
02/14/2014
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