Eric Martin Hanson, D.D.S. Valid NPI
Individual provider · Dentist · Eatonville, WA
- NPI
- 1679656532
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 10339 (WA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-10-23
- Last updated
- 2007-07-08
Practice location
121 Mashell Ave. S.
Eatonville, WA 98328
(360) 832-6102