JAY HANSEN II, DDS
Dentist
Active
Individual
NPI: 1609129519
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | Yes | D3853 (ID) |
Frequently Asked Questions
NPI 1609129519 is the National Provider Identifier for JAY HANSEN II, DDS, a Dentist provider located in Moscow, ID. This NPI was enumerated on October 17, 2012.
JAY HANSEN II, DDS practices at 1526 S LEVICK ST, Moscow, ID 83843.
Quick Facts
- NPI
- 1609129519
- Type
- Individual
- Enumerated
- Oct 17, 2012
- Last Updated
- Oct 17, 2012
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