Matthew Moore Hansen D.D.S.

NPI 1013115831 - Dentist - 1223G0001X

NPI Details
NPI 1013115831
Gender Male
Enumeration Date 07/03/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
46592 MISSION BLVD
FREMONT CA, 94539-7063, US
Phone (510) 490-3737
Fax (510) 490-1439
Business Location
1445 SALAMANCA CT
FREMONT CA, 94539-5746, US
Phone (510) 440-9459
Fax (510) 490-1439
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 43791
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According to our database, Dr. Matthew Moore Hansen D.D.S. NPI is 1013115831, taxonomy code is 1223G0001X and license number is 43791, license state is located at California. Matthew Moore Hansen D.D.S. physically located at 46592 Mission Blvd, Fremont CA, 94539-7063. NPI Number Matthew Moore Hansen D.D.S. has the Individual type.

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1013115831 NPI number is provided on an as is basis without warranty of any kind. 1013115831 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew Moore Hansen D.D.S. are for informational purposes only.