DOUGLAS HANSEN

OREM, UT
NPI1851792683
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: UT  9141917-8903)
Enumeration Date2014-09-11
Last Update Date2015-09-22
Business Address
-- DOUGLAS HANSEN DMD
1256 S STATE ST
OREM, UT 84097-8237
Phone number: 801-607-5024
Mailing Address
-- DOUGLAS HANSEN DMD
13849 S PIONEER PEAK CIR
HERRIMAN, UT 84096-1904
Phone number: 801-201-8366