DR. Charles Hannon, DDS

NPI #1487002655 in Wayzata, Minnesota

Provider Information

NPI Number: 1487002655
Entity Type: Individual
Name: DR. Charles Hannon, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 29, 2016
Last Updated: Apr 21, 2022

Practice Location

Address: 1421 WAYZATA BLVD STE 300
City: Wayzata
State: Minnesota
ZIP Code: 55391-4109
Phone: (951) 473-1521

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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