Organization
SEABREEZE ENDODONTICS PENSACOLA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANE ROBERT HANSON DMD (PRESIDENT)
(850) 398-7849
Entity
Organization
Contact information
Practice address
9013 UNIVERSITY PKWY STE H, PENSACOLA, FL 32514-9421
(850) 285-0935
(888) 788-5217
Mailing address
9013 UNIVERSITY PKWY STE H, PENSACOLA, FL 32514-9421
(850) 285-0935
(888) 788-5217
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
10/14/2020
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