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Individual

DR. THOMAS A HANSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D

Contact information

Practice address
28080 US HIGHWAY 98 STE A, DAPHNE, AL 36526-7012
(251) 621-9404
(251) 621-9653
Mailing address
28080 US HIGHWAY 98, DAPHNE, AL 36526-7005
(251) 621-9404
(251) 621-9653

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
AL 4301
AL

Other

Enumeration date
01/26/2011
Last updated
01/26/2011
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