DUANE D HANSEN

ROCKFORD, IL
NPI1770659070
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019019603)
Enumeration Date2006-11-28
Last Update Date2007-07-08
Business Address
Dr. DUANE D HANSEN DDS
810 N ALPINE RD
ROCKFORD, IL 61107-3673
Phone number: 815-398-3800
Mailing Address
Dr. DUANE D HANSEN DDS
810 N ALPINE RD
ROCKFORD, IL 61107-3673
Phone number: 815-398-3800