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1215911920
TIMOTHY A HANSEN
BOISE, ID
NPI
1215911920
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: ID D3513)
Enumeration Date
2005-12-06
Last Update Date
2015-12-02
Business Address
DR. TIMOTHY A HANSEN DDS
4840 N ROSEPOINT WAY STE A
BOISE, ID 83713-0954
Phone number: 208-938-1825
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Mailing Address
DR. TIMOTHY A HANSEN DDS
4840 N ROSEPOINT WAY STE A
BOISE, ID 83713-0954
Phone number: 208-938-1825
Copy
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