DR. Otto Julius Hanssen, D.D.S.
NPI #1043365935 in Bonney Lake, Washington
Provider Information
- NPI Number
- 1043365935
- Entity Type
- Individual
- Name
- DR. Otto Julius Hanssen, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Jan 24, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 21515 STATE ROUTE 410 E
- Address 2
- SUITE A
- City
- Bonney Lake
- State
- Washington
- ZIP Code
- 98391-4100
- Phone
- (253) 826-9000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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