DR. Spencer Mack Hansen

NPI #1336505635 in Longview, Texas

Provider Information

NPI Number
1336505635
Entity Type
Individual
Name
DR. Spencer Mack Hansen
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Jan 4, 2016
Last Updated
Oct 24, 2022

Practice Location

Address
1405 JUDSON RD
State
Texas
ZIP Code
75601-3918
Phone
(903) 212-7737

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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