Individual
SHANE R HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2999 W 10TH ST, PANAMA CITY, FL 32401-1444
(850) 215-3339
(888) 788-5217
Mailing address
2999 W 10TH ST, PANAMA CITY, FL 32401-1444
(850) 215-3339
(888) 788-5217
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
19025779
IL
1223E0200X
Endodontics
Primary
DN17872
FL
Other
Enumeration date
07/20/2006
Last updated
08/26/2009
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