Individual
DUANE ALAN HANSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
525 WINTERBERRY DR, FREDERICKSBURG, VA 22405-2060
(540) 373-4654
Mailing address
525 WINTERBERRY DR, FREDERICKSBURG, VA 22405-2060
(540) 373-4654
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
0401006126
VA
Other
Enumeration date
11/02/2005
Last updated
07/08/2007
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