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1720001761
BRUCE W HANSON
KENT, WA
NPI
1720001761
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA DE00005013)
Enumeration Date
2006-07-25
Last Update Date
2007-07-08
Business Address
Dr. BRUCE W HANSON DDS
25052 104TH AVE SE STE D
KENT, WA 98030-6853
Phone number: 253-852-4508
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Mailing Address
Dr. BRUCE W HANSON DDS
25052 104TH AVE SE STE D
KENT, WA 98030-6853
Phone number: 253-852-4508
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