Sean Hanson, Dmd, LLC

NPI #1003880519 in Salem, Oregon

Provider Information

NPI Number: 1003880519
Entity Type: Organization
Organization Name: Sean Hanson, Dmd, LLC
Primary Specialty: Dentist
Enumeration Date: Feb 14, 2006
Last Updated: Jun 8, 2016

Practice Location

Address: 2045 MADRONA AVE SE
Address 2: SUITE #150
City: Salem
State: Oregon
ZIP Code: 97302-1149
Phone: (503) 391-2848

Authorized Official

Name: DR. SEAN HANSON, DMD
Title: OWNER
Phone: (503) 391-2848

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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