Guy M. Hanson, Dds, PA

NPI #1003858630 in Boise, Idaho

Provider Information

NPI Number: 1003858630
Entity Type: Organization
Organization Name: Guy M. Hanson, Dds, PA
Primary Specialty: Clinic/Center
Enumeration Date: Jun 11, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 9203 W OVERLAND RD
City: Boise
State: Idaho
ZIP Code: 83709-2502
Phone: (208) 375-1012

Authorized Official

Name: DR. GUY MATTHEW HANSON, DDS
Title: OWNER
Phone: (208) 375-1012

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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