Organization
STACI L HANSON DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW HANSON (VICE-PRESIDENT)
(509) 493-2444
Entity
Organization
Contact information
Practice address
131 NE ESTES, WHITE SALMON, WA 98672
(509) 493-2444
Mailing address
PO BOX 1937, WHITE SALMON, WA 98672-1937
(509) 493-2444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
WA8180
WA
Other
Enumeration date
02/15/2007
Last updated
08/22/2020
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