TIMOTHY HANSEN

Dentist

Active Individual
NPI: 1245969054

Practice Address

2592 S 5600 W STE 102
West Valley City, UT 84120

Phone: (801) 613-2904

Specialties

Specialty Code Primary License
Dentist 122300000X Yes 12885953-9922 (UT)

Frequently Asked Questions

NPI 1245969054 is the National Provider Identifier for TIMOTHY HANSEN, a Dentist provider located in West Valley City, UT. This NPI was enumerated on June 7, 2022.
TIMOTHY HANSEN practices at 2592 S 5600 W STE 102, West Valley City, UT 84120.

Quick Facts

NPI
1245969054
Type
Individual
Enumerated
Jun 7, 2022
Last Updated
Jun 7, 2022

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