Individual
BENNETT LEE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10600 BELLAIRE BLVD, SUITE 102, HOUSTON, TX 77072-5231
(281) 495-9080
Mailing address
10600 BELLAIRE BLVD, SUITE 102, HOUSTON, TX 77072-5231
(281) 495-9080
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11087
TX
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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