Organization
DR HANSENS FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY VAL HANSEN DDS (DENTIST OWNER)
(801) 525-1725
Entity
Organization
Contact information
Practice address
1747 S HERITAGE LANE, SUITE B 203, SYRACUSE, UT 84075
(801) 525-1725
(801) 525-0988
Mailing address
1747 S HERITAGE LANE, SUITE B 203, SYRACUSE, UT 84075
(801) 525-1725
(801) 525-0988
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3708249922
UT
Other
Enumeration date
03/27/2007
Last updated
08/22/2020
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