TIMOTHY A HANSEN

MERIDIAN, ID
NPI1215911920
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: ID  D3513)
Enumeration Date2005-12-06
Last Update Date2026-06-04
Business Address
Dr. TIMOTHY A HANSEN DDS
4702 N PENNGROVE WAY STE 100
MERIDIAN, ID 83646-7449
Phone number: 208-938-1825
Mailing Address
Dr. TIMOTHY A HANSEN DDS
4702 N PENNGROVE WAY STE 100
MERIDIAN, ID 83646-7449
Phone number: 208-938-1825
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