Timothy Hansen

NPI #1245969054 in West Valley City, Utah

Provider Information

NPI Number
1245969054
Entity Type
Individual
Name
Timothy Hansen
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Enumeration Date
Jun 7, 2022
Last Updated
Jun 7, 2022

Practice Location

Address
2592 S 5600 W STE 102
State
Utah
ZIP Code
84120-1274
Phone
(801) 613-2904

Specialties & Taxonomy Codes

Specialty
Dentist

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