J. Brent Hansen D.d.s. Apc

NPI #1134299035 in Ridgecrest, California

Provider Information

NPI Number
1134299035
Entity Type
Organization
Organization Name
J. Brent Hansen D.d.s. Apc
Primary Specialty
Dentist - General Practice
Enumeration Date
Nov 8, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
840 N NORMA ST
Address 2
SUITE A
ZIP Code
93555-3570
Phone
(760) 375-2622

Authorized Official

Name
DR. J. BRENT HANSEN, D.D.S.
Title
PRES.
Phone
(760) 375-2622

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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