Individual
DR. DUANE D HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
810 N ALPINE RD, ROCKFORD, IL 61107-3673
(815) 398-3800
(815) 398-3890
Mailing address
810 N ALPINE RD, ROCKFORD, IL 61107-3673
(815) 398-3800
(815) 398-3890
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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