JUSTIN HANSEN

SALT LAKE CITY, UT
NPI1194082206
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: UT  8340879-9922)
Enumeration Date2012-04-13
Last Update Date2018-01-31
Business Address
JUSTIN HANSEN DMD
279 E 5900 S STE 200
SALT LAKE CITY, UT 84107-5424
Phone number: 801-671-3786
Mailing Address
JUSTIN HANSEN DMD
7686 S 455 E
MIDVALE, UT 84047-2708
Phone number: