Individual
CECIL HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3326 ELSIE FAYE HEGGINS ST # 100, DALLAS, TX 75215-4437
(214) 718-1429
Mailing address
1204 SAINT TROPEZ DR, CARROLLTON, TX 75006-2931
(214) 718-1429
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
34209
TX
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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