CHRIS HANSEN DMD PA
Organization (NPI-2)
Active
Dentist
Provider Information
- NPI Number
1053632919- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 333 W CEDAR ST, POCATELLO, ID, 832015045
- Phone
- (208) 233-5362
- Fax
- (208) 234-8056
Specialties & Taxonomies
Dentist
Primary License: ID #D4164