NPI | 1114481322 |
---|---|
Doing Business As | HANSEN ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | LEVI HANSEN Doctor 316-722-6717 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2019-01-22 |
Last Update Date | 2019-01-22 |