Individual
KATIE MARIE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1500 S. MAIN ST., WEST BEND, WI 53095
(262) 338-0022
(262) 338-7982
Mailing address
1500 S. MAIN ST., WEST BEND, WI 53095
(262) 338-0022
(262) 338-7982
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6922
WI
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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