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
- City
- West Valley City
- State
- Utah
- ZIP Code
- 84120-1274
- Phone
- (801) 613-2904
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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