R.t.hansen,jr., D.m.d., Inc.
NPI #1912449364 in Fullerton, California
Provider Information
- NPI Number
- 1912449364
- Entity Type
- Organization
- Organization Name
- R.t.hansen,jr., D.m.d., Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- R.T.HANSEN,JR., D.M.D., INC.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 15, 2016
- Last Updated
- Nov 15, 2016
Practice Location
- Address
- 1321 N HARBOR BLVD
- Address 2
- SUITE 104
- City
- Fullerton
- State
- California
- ZIP Code
- 92835-4124
- Phone
- (714) 870-0310
Authorized Official
- Name
- DR. RICHARD THOMAS HANSEN, D.M.D.
- Title
- OWNER
- Phone
- (714) 870-0310
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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