Individual
DR. DAVID KENT HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
204 EAST 400 NORTH, SUITE A, SALEM, UT 84653
(801) 423-0905
Mailing address
204 EAST 400 NORTH, SUITE A, SALEM, UT 84653
(801) 423-0905
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
65985119922
UT
1223G0001X
General Practice Dentistry
65982119922
UT
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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