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Individual

DR. ERIC MARTIN HANSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
121 MASHELL AVE. S., EATONVILLE, WA 98328
(360) 832-6102
(360) 832-8112
Mailing address
PO BOX 307, EATONVILLE, WA 98328-0307
(360) 832-6102
(360) 832-8112

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10339
WA

Other

Enumeration date
10/23/2006
Last updated
07/08/2007
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