DR. Jacob Johnson Hanseen, DMD
NPI #1295292340 in Glendora, California
Provider Information
- NPI Number
- 1295292340
- Entity Type
- Individual
- Name
- DR. Jacob Johnson Hanseen, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Credential
- DMD
- Enumeration Date
- Feb 25, 2019
- Last Updated
- Feb 25, 2019
Practice Location
- Address
- 175 N PENNSYLVANIA AVE
- City
- Glendora
- State
- California
- ZIP Code
- 91741-3316
- Phone
- (626) 963-4173
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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Organizations
| Provider Name | |
|---|---|
| Jacobson Dental Corp Part of Jacobson Dental Corp | AI Deep Dive |
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