GENTRY MICHAEL HANSEN DMD, MD
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1235497975- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DMD, MD
- Status
- Active
Contact & Location
- Address
- 5828 SUNNYBROOK DR, SIOUX CITY, IA, 511064253
- Phone
- (712) 823-9654
- Fax
- (712) 823-9008
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
License: SD #D1197
Dentist, Oral and Maxillofacial Surgery
Primary License: IA #09513
Dentist, Oral and Maxillofacial Surgery
License: IA #45169
Dentist, Oral and Maxillofacial Surgery
License: SD #11002
Dentist, Oral and Maxillofacial Surgery
License: TX #32567