| Dr Clarence H Hansen, DDS | |
|
407 E Iowa, Holbrook, AZ 86025 | |
| (928) 524-6854 | |
| (928) 524-1158 |
| Full Name | Dr Clarence H Hansen |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 407 E Iowa, Holbrook, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336224195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5895 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Clarence H Hansen, DDS 407 E Iowa, Holbrook, AZ 86025 Ph: (928) 524-6854 | Dr Clarence H Hansen, DDS 407 E Iowa, Holbrook, AZ 86025 Ph: (928) 524-6854 |
Kari Fish, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 407 E Iowa St, Holbrook, AZ 86025 Phone: 928-524-6854 | |
Dr. Jason D Lyman, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 407 E Iowa, Holbrook, AZ 86025 Phone: 928-524-6854 Fax: 928-524-1158 |