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1245347814
MICHAEL RICHARD HANSEN
SUWANEE, GA
NPI
1245347814
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: GA DN013232)
Enumeration Date
2006-08-23
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL RICHARD HANSEN D.D.S.
4330 JOHNS CREEK PARKWAY
SUWANEE, GA 30024
Phone number: 770-622-1515
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Mailing Address
Dr. MICHAEL RICHARD HANSEN D.D.S.
4108 JEFFERSON CT
ALPHARETTA, GA 30005-3835
Phone number: 770-442-9266
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