Michael R Hansen, DR DDS Valid NPI
Individual provider · General Practice Dentistry · Mission Viejo, CA
- NPI
- 1114059037
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 30626 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-03-09
- Last updated
- 2007-07-08
Practice location
25350 #A Marguerite Parkway
Mission Viejo, CA 92692-2908
(949) 859-6549