MISS Callie Jo Hanson, RDH, MDT

NPI #1043949860 in Mankato, Minnesota

Provider Information

NPI Number: 1043949860
Entity Type: Individual
Name: MISS Callie Jo Hanson, RDH, MDT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Therapist
Credential: RDH, MDT
Enumeration Date: Jun 7, 2022
Last Updated: Jun 28, 2022

Practice Location

Address: 309 HOLLY LN
City: Mankato
State: Minnesota
ZIP Code: 56001-5422
Phone: (507) 388-2120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X
Dental Therapist	125J00000X	Primary

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