SHANE S HANSEN

APO, AE
NPI1174197867
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: WA  DE61181691)
Enumeration Date2021-05-17
Last Update Date2026-07-27
Business Address
Dr. SHANE S HANSEN DDS
PSC 411 BOX 4187
APO, AE
Phone number: 555-555-5555
Mailing Address
Dr. SHANE S HANSEN DDS
PSC 411 BOX 4187
APO, AE
Phone number: 555-555-5555