DR. Nathan Fred Hanson, D.D.S.

NPI #1417097775 in Provo, Utah

Provider Information

NPI Number
1417097775
Entity Type
Individual
Name
DR. Nathan Fred Hanson, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Feb 7, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
3685 N 100 E
Address 2
SUITE B
City
Provo
State
Utah
ZIP Code
84604-4594
Phone
(801) 356-1211

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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