DR. Timothy A Hansen, DDS

NPI #1215911920 in Boise, Idaho

Provider Information

NPI Number: 1215911920
Entity Type: Individual
Name: DR. Timothy A Hansen, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Dec 6, 2005
Last Updated: Dec 2, 2015

Practice Location

Address: 4840 N ROSEPOINT WAY
Address 2: STE A
City: Boise
State: Idaho
ZIP Code: 83713-0954
Phone: (208) 938-1825

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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