| NPI | 1275265837 |
|---|---|
| Doing Business As | HANSEN COSMETIC FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | AUSTIN DUANE BRAUN Member 509-951-1051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2022-06-30 |