Nathan Fred Hanson, D.D.S. Valid NPI
Individual provider · General Practice Dentistry · Provo, UT
- NPI
- 1417097775
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 51489679921 (UT)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-02-07
- Last updated
- 2007-07-08
Practice location
3685 N 100 E, Suite B
Provo, UT 84604-4594
(801) 356-1211