Individual
MICHAEL W. HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7555 E OSBORN RD # 209, SCOTTSDALE, AZ 85251-6434
(480) 634-4013
Mailing address
7555 E OSBORN RD STE 206, SCOTTSDALE, AZ 85251-6442
(480) 634-4013
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D010814
AZ
Other
Enumeration date
04/21/2016
Last updated
08/06/2020
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