Individual
DR. JUSTIN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
710 NW JUNIPER ST, SUITE 206, ISSAQUAH, WA 98027-2717
(428) 837-0634
(425) 837-0636
Mailing address
710 NW JUNIPER ST, SUITE 206, ISSAQUAH, WA 98027-2717
(428) 837-0634
(425) 837-0636
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60169584
WA
Other
Enumeration date
07/21/2010
Last updated
12/06/2011
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