Individual
DR. SHELLEY DENE TOWNSEND-HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1017 BROADWAY N, FARGO, ND 58102
(701) 237-3725
(701) 237-3276
Mailing address
1017 BROADWAY N, FARGO, ND 58102
(701) 237-3725
(701) 237-3276
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1562
ND
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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