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1700080660
BRENT JAMES HANSEN
DALLAS, TX
NPI
1700080660
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2007-06-13
Last Update Date
2007-07-08
Business Address
-- BRENT JAMES HANSEN DDS
5201 HARRY HINES BLVD HOUSE STAFF & GME
DALLAS, TX 75235-7708
Phone number: 214-590-8058
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Mailing Address
-- BRENT JAMES HANSEN DDS
5201 HARRY HINES BLVD HOUSE STAFF & GME
DALLAS, TX 75235-7708
Phone number: 214-590-8058
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