| Guy M. Hanson, Dds, Pa | |
|
9203 W Overland Rd Boise ID 83709-2502 | |
| (208) 375-1012 | |
| (208) 375-1098 |
| Full Name | Guy M. Hanson, Dds, Pa |
|---|---|
| Speciality | Clinic/center |
| Location | 9203 W Overland Rd, Boise, Idaho |
| Authorized Official Name and Position | Guy Matthew Hanson (OWNER) |
| Authorized Official Contact | 2083751012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guy M. Hanson, Dds, Pa 9203 W Overland Rd Boise ID 83709-2502 Ph: (208) 375-1012 | Guy M. Hanson, Dds, Pa 9203 W Overland Rd Boise ID 83709-2502 Ph: (208) 375-1012 |
| NPI Number | 1003858630 |
|---|---|
| Provider Enumeration Date | 06/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003858630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | D1850 (Idaho) | Primary |
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