Hancock Dental Clinic, PA

NPI #1003278870 in Hancock, Minnesota

Provider Information

NPI Number
1003278870
Entity Type
Organization
Organization Name
Hancock Dental Clinic, PA
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Mar 22, 2016
Last Updated
Mar 22, 2016

Practice Location

Address
657 ATLANTIC AVE
ZIP Code
56244-2104
Phone
(320) 392-5300

Authorized Official

Name
TIMOTHY J CARLSON, D.D.S.
Title
OWNER/PRESIDENT
Phone
(320) 392-5300

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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