Robert Edward Hansen JR. D.D.S.

NPI 1073503025 - Dentist - 1223G0001X

NPI Details
NPI 1073503025
Gender Male
Enumeration Date 10/21/2005
Last Updated 11/20/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
960 E GREEN ST
SUITE 111
PASADENA CA, 91106-2401, US
Phone (626) 793-2273
Fax (626) 793-2229
Business Location
960 E GREEN ST
SUITE 111
PASADENA CA, 91106-2401, US
Phone (626) 793-2273
Fax (626) 793-2229
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 40828
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According to our database, Dr. Robert Edward Hansen JR. D.D.S. NPI is 1073503025, taxonomy code is 1223G0001X and license number is 40828, license state is located at California. Robert Edward Hansen JR. D.D.S. physically located at 960 E Green St, Pasadena CA, 91106-2401. NPI Number Robert Edward Hansen JR. D.D.S. has the Individual type.

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1073503025 NPI number is provided on an as is basis without warranty of any kind. 1073503025 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Edward Hansen JR. D.D.S. are for informational purposes only.