Michael B Hansted DDS

NPI 1073736815 - Dentist - 122300000X

NPI Details
NPI 1073736815
Gender Male
Enumeration Date 04/10/2007
Last Updated 09/02/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
19901 1ST ST
HILMAR CA, 95324-9099, US
Phone (209) 668-0101
Fax
Business Location
2933 VISTA CREEK DRIVE
SAN JOSE CA, 95133-2920, US
Phone
Fax
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 35114
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According to our database, Dr. Michael B Hansted DDS NPI is 1073736815, taxonomy code is 122300000X and license number is 35114, license state is located at California. Michael B Hansted DDS physically located at 19901 1st St, Hilmar CA, 95324-9099. NPI Number Michael B Hansted DDS has the Individual type.

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1073736815 NPI number is provided on an as is basis without warranty of any kind. 1073736815 is maintained by the National Plan & Provider Enumeration System. The contents of Michael B Hansted DDS are for informational purposes only.