Russell Hanson, D.d.s., P.c. | |
1371 E Hecla Dr Ste D2 Louisville CO 80027-2318 | |
(303) 604-2609 | |
Not Available |
Full Name | Russell Hanson, D.d.s., P.c. |
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Speciality | Dentist |
Location | 1371 E Hecla Dr Ste D2, Louisville, Colorado |
Authorized Official Name and Position | Russell H Hanson (PRESIDENT) |
Authorized Official Contact | 3036042609 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Russell Hanson, D.d.s., P.c. 1371 E Hecla Dr Ste D2 Louisville CO 80027-2318 Ph: (303) 604-2609 | Russell Hanson, D.d.s., P.c. 1371 E Hecla Dr Ste D2 Louisville CO 80027-2318 Ph: (303) 604-2609 |
NPI Number | 1457567109 |
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Provider Enumeration Date | 05/16/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457567109 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | HD100949 (Colorado) | Primary |
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