DR. Bryce D Hanson, D.M.D

NPI #1629027099 in Shelley, Idaho

Provider Information

NPI Number: 1629027099
Entity Type: Individual
Name: DR. Bryce D Hanson, D.M.D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D
Enumeration Date: May 10, 2006
Last Updated: Oct 12, 2023

Practice Location

Address: 371 W FIR ST
City: Shelley
State: Idaho
ZIP Code: 83274-1456
Phone: (208) 357-7611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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