Richard Evans Hansen

NPI #1134332786 in Latrobe, Pennsylvania

Provider Information

NPI Number: 1134332786
Entity Type: Individual
Name: Richard Evans Hansen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: May 8, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 412 STATE ROUTE 217
City: Latrobe
State: Pennsylvania
ZIP Code: 15650-3431
Phone: (724) 539-4591

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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