CARL ARTHUR HANSEN

FAYETTEVILLE, WV
NPI1922171024
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WV  2364)
Enumeration Date2006-11-16
Last Update Date2007-07-08
Business Address
-- CARL ARTHUR HANSEN DDS
215 NORTH COURT ST
FAYETTEVILLE, WV 25840
Phone number: 304-574-1363
Mailing Address
-- CARL ARTHUR HANSEN DDS
PO BOX 508 215 N COURT
FAYETTEVILLE, WV 25840
Phone number: 304-574-1363