Individual
DR. JO E HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.,M.S.
Contact information
Practice address
611 SW 3RD ST, SUITE #A, LEES SUMMIT, MO 64063-2212
(816) 246-4671
Mailing address
PO BOX 1923, LEES SUMMIT, MO 64063-7923
(816) 246-4671
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
014637
MO
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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