Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 105304 | CO |
NPI | 1023238359 |
---|---|
Provider Name | Dr. David William Hanske |
First Address | Denver, CO 80209-3131 |
Second Address | Denver, CO 80209-3131 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2007 |
Last Update Date | 08/07/2007 |