RICHARD B. HANSEN

CRYSTAL LAKE, IL
NPI1174666572
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: IL  021.001706)
Enumeration Date2007-02-15
Last Update Date2007-07-08
Business Address
Dr. RICHARD B. HANSEN D.D.S.
460 COVENTRY LN
CRYSTAL LAKE, IL 60014-7561
Phone number: 815-459-1083
Mailing Address
Dr. RICHARD B. HANSEN D.D.S.
460 COVENTRY LN
CRYSTAL LAKE, IL 60014-7561
Phone number:
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