Katie Marie Hansen, DDS

NPI #1891041158 in West Bend, Wisconsin

Provider Information

NPI Number: 1891041158
Entity Type: Individual
Name: Katie Marie Hansen, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 24, 2012
Last Updated: Jul 24, 2012

Practice Location

Address: 1500 S. MAIN ST.
City: West Bend
State: Wisconsin
ZIP Code: 53095
Phone: (262) 338-0022

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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