person
Jody Eric Hansen, LD
Denturist in Bellingham, Washington
NPI 1265642854

Jody Eric Hansen is a Denturist based in Bellingham, WA. Jody Eric Hansen practices in Bellingham, WA and has the professional credentials of LD. The NPI Number for Jody Eric Hansen is 1265642854 and holds a License No. DN00000002 (Washington).

The current practice location address for Jody Eric Hansen is 2710 Meridian St, Bellingham, WA and can be reached out via phone at 360-676-1499 and via fax at 360-738-2281.

Location: 2710 Meridian St, Bellingham, WA, 98225-2411
person
Provider Profile Details
NPI Number
1265642854
Provider Name
Jody Eric Hansen
Credential
LD
Provider Entity Type
Individual
Gender
Male
Address
2710 Meridian St, Bellingham, WA, 98225-2411
Phone Number
360-676-1499
Fax Number
360-738-2281
Provider Enumeration Date
05/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DN00000002 01 WA WA DENTURIST LICENSE #
5020052 05 WA
institution
Provider Business Practice Location Address Details
Address
2710 Meridian St
City
State
Zip
98225-2411
Phone Number
360-676-1499
Fax Number
360-738-2281
person
Provider Business Mailing Address Details
Address
2710 Meridian St
City
State
Zip
98225-2411
Phone Number
360-676-1499
Fax Number
360-738-2281
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
License No.
DN00000002 (Washington)
Definition
Definition to come.
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