| Engage Orthodontics-hanson Sc | |
|
1756 Cardinal Ln Green Bay WI 54313-7121 | |
| (920) 884-2808 | |
| (920) 884-2966 |
| Full Name | Engage Orthodontics-hanson Sc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1756 Cardinal Ln, Green Bay, Wisconsin |
| Authorized Official Name and Position | Mark H Hanson (DOCTOR/OWNER) |
| Authorized Official Contact | 9208842808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Engage Orthodontics-hanson Sc 1756 Cardinal Ln Green Bay WI 54313-7121 Ph: (920) 884-2808 | Engage Orthodontics-hanson Sc 1756 Cardinal Ln Green Bay WI 54313-7121 Ph: (920) 884-2808 |
| NPI Number | 1366026676 |
|---|---|
| Provider Enumeration Date | 05/12/2021 |
| Last Update Date | 05/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366026676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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