Hanover Dental Pllc
NPI #1487147260 in Hanover, Minnesota
Provider Information
- NPI Number
- 1487147260
- Entity Type
- Organization
- Organization Name
- Hanover Dental Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 7, 2018
- Last Updated
- Jun 7, 2018
Practice Location
Authorized Official
- Name
- DR. TYLER JAMES KOIVISTO, DDS
- Title
- DENTIST
- Phone
- (763) 226-7379
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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