DR. Hans Patrick Nordstrom, DDS

NPI #1487671228 in Wasilla, Alaska

Provider Information

NPI Number: 1487671228
Entity Type: Individual
Name: DR. Hans Patrick Nordstrom, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 17, 2006
Last Updated: Oct 21, 2008

Practice Location

Address: 1001 E USA CIR
Address 2: SUITE B
City: Wasilla
State: Alaska
ZIP Code: 99654-7198
Phone: (907) 357-6800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - General Practice — General Practice	1223G0001X

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