Individual
DR. STACI HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
131 NE ESTES AVE, WHITE SALMON, WA 98672
(509) 493-2444
Mailing address
PO BOX 1937, WHITE SALMON, WA 98672-1937
(509) 493-2444
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
WA8180
WA
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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