Organization
HANSER DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE SUE HANSER DMD (DENTIST)
(618) 972-6769
Entity
Organization
Contact information
Practice address
334 BARGRAVES BLVD, TROY, IL 62294-2304
(618) 667-2004
Mailing address
102 JEFFERSON AVE, ALHAMBRA, IL 62001-2124
(618) 972-6769
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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