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1417173923
TIMOTHY SCOTT HANSEN
VISTA, CA
NPI
1417173923
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 36373)
Enumeration Date
2007-04-17
Last Update Date
2007-07-08
Business Address
Dr. TIMOTHY SCOTT HANSEN D.D.S
933 VALE TERRACE DR SUITE A
VISTA, CA 92084-5213
Phone number: 760-724-6743
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Mailing Address
Dr. TIMOTHY SCOTT HANSEN D.D.S
933 VALE TERRACE DR SUITE A
VISTA, CA 92084-5213
Phone number: 760-724-6743
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