| Preston G. Hansen, Dds, Pllc | |
|
7138 S Highland Dr Ste 211 Salt Lake City UT 84121-3787 | |
| (801) 251-7167 | |
| (801) 880-4559 |
| Full Name | Preston G. Hansen, Dds, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7138 S Highland Dr Ste 211, Salt Lake City, Utah |
| Authorized Official Name and Position | Preston Hansen (OWNER) |
| Authorized Official Contact | 8012517167 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Preston G. Hansen, Dds, Pllc 7138 S Highland Dr Ste 211 Salt Lake City UT 84121-3787 Ph: (801) 251-7167 | Preston G. Hansen, Dds, Pllc 7138 S Highland Dr Ste 211 Salt Lake City UT 84121-3787 Ph: (801) 251-7167 |
| NPI Number | 1154947372 |
|---|---|
| Provider Enumeration Date | 06/23/2020 |
| Last Update Date | 06/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154947372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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