Organization
DESERT VALLEY ORAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONOVAN R. HANSEN D.D.S. (OWNER)
(480) 539-6420
Entity
Organization
Contact information
Practice address
2915 E. BASELINE ROAD, SUITE 106, GILBERT, AZ 85234
(480) 539-6420
(480) 663-6370
Mailing address
2915 E. BASELINE ROAD, SUITE 106, GILBERT, AZ 85234
(480) 539-6420
(480) 663-6370
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
D08601
AZ
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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