DR. Kathleen Marie Hansen, DDS

NPI #1609867092 in Hanover Park, Illinois

Provider Information

NPI Number: 1609867092
Entity Type: Individual
Name: DR. Kathleen Marie Hansen, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 3, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 7212 EDGEBROOK LN
City: Hanover Park
State: Illinois
ZIP Code: 60133
Phone: (630) 837-3700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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