DR. Joseph Brent Hansen, D.D.S.

NPI #1073913059 in Ridgecrest, California

Provider Information

NPI Number: 1073913059
Entity Type: Individual
Name: DR. Joseph Brent Hansen, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Aug 27, 2014
Last Updated: Aug 27, 2014

Practice Location

Address: 840 N NORMA ST
Address 2: SUITE A
City: Ridgecrest
State: California
ZIP Code: 93555-3570
Phone: (760) 375-2622

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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