Organization
TWIN FALLS DENTAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER HANSEN DDS (DENTIST/PARTNER)
(208) 733-2621
Entity
Organization
Contact information
Practice address
788 EASTLAND DR STE A, TWIN FALLS, ID 83301-6826
(208) 733-2621
(208) 733-1086
Mailing address
3548 WASHINGTON PKWY, IDAHO FALLS, ID 83404-4968
(208) 524-2300
(208) 545-8447
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4164
ID
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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