Individual
ANTHONY J. HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.D.
Contact information
Practice address
3410 WOBURN ST STE 201, BELLINGHAM, WA 98226-5643
(360) 738-1177
(360) 738-1192
Mailing address
3410 WOBURN ST STE 201, BELLINGHAM, WA 98226-5643
(360) 738-1177
(360) 738-1192
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN00000392
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5047444
—
WA
Enumeration date
09/25/2006
Last updated
07/08/2007
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