JACOB JOHNSON HANSEEN

GLENDORA, CA
NPI1295292340
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: CA  103563)
Enumeration Date2019-02-25
Last Update Date2019-02-25
Business Address
DR. JACOB JOHNSON HANSEEN DMD
175 N PENNSYLVANIA AVE
GLENDORA, CA 91741-3316
Phone number: 626-963-4173
Mailing Address
DR. JACOB JOHNSON HANSEEN DMD
518 MAGNOLIA ST
DENVER, CO 80220-6014
Phone number: 801-918-3866
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