Individual
DR. MARK TANNER HANSTEIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
201 ROBERT S KERR AVE, SUITE 521, OKLAHOMA CITY, OK 73102-4205
(405) 235-7288
(405) 235-9581
Mailing address
201 ROBERT S KERR AVE, SUITE 521, OKLAHOMA CITY, OK 73102-4205
(405) 235-7288
(405) 235-9581
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4693
OK
Other
Enumeration date
06/12/2006
Last updated
07/08/2007
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