Chad Michael Hanson, DDS
NPI #1073587366 in Blooming Prairie, Minnesota
Provider Information
- NPI Number
- 1073587366
- Entity Type
- Individual
- Name
- Chad Michael Hanson, DDS
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Feb 14, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 405 E MAIN STREET
- City
- Blooming Prairie
- State
- Minnesota
- ZIP Code
- 55917
- Phone
- (507) 583-2141
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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