Individual
DR. CHAD RICHARD HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
6655 W SAHARA AVE, A-106, LAS VEGAS, NV 89146-0842
(702) 876-5800
(702) 876-5927
Mailing address
6655 W SAHARA AVE, A-106, LAS VEGAS, NV 89146-0842
(702) 876-5800
(702) 876-5927
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1000987-15
WI
1223E0200X
Endodontics
Primary
S7-91
NV
Other
Enumeration date
08/27/2014
Last updated
06/27/2016
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