Wesley L Hanson, Dds, Msd, Ps | |
1040 Ne Hostmark St Suite 100a Poulsbo WA 98370-7337 | |
(360) 779-4556 | |
Not Available |
Full Name | Wesley L Hanson, Dds, Msd, Ps |
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Speciality | Dentist - Periodontics |
Location | 1040 Ne Hostmark St, Poulsbo, Washington |
Authorized Official Name and Position | Wesley L Hanson (PRESIDENT) |
Authorized Official Contact | 3607794556 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wesley L Hanson, Dds, Msd, Ps 1040 Ne Hostmark St Suite 100a Poulsbo WA 98370-7337 Ph: (360) 779-4556 | Wesley L Hanson, Dds, Msd, Ps 1040 Ne Hostmark St Suite 100a Poulsbo WA 98370-7337 Ph: (360) 779-4556 |
NPI Number | 1013122076 |
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Provider Enumeration Date | 05/13/2007 |
Last Update Date | 06/14/2013 |
Identifier | Type | State | Issuer |
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1013122076 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223P0300X | Dentist - Periodontics | DE6404 (Washington) | Primary |
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