GRANT HANSEN ALLEN

RIO RANCHO, NM
NPI1841214921
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: NM  DD1550)
Additional Taxonomies122300000X Dentist
(Licence: NM  DD2365)
Enumeration Date2006-07-26
Last Update Date2007-07-08
Business Address
Dr. GRANT HANSEN ALLEN DDS
4041 RIDGE ROCK RD.
RIO RANCHO, NM 87124
Phone number: 505-891-4510
Mailing Address
Dr. GRANT HANSEN ALLEN DDS
4041 RIDGE ROCK RD.
RIO RANCHO, NM 87124
Phone number: 505-891-4510
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