Hannon Dental, P.l.l.c.

NPI #1659020824 in Wayzata, Minnesota

Provider Information

NPI Number
1659020824
Entity Type
Organization
Organization Name
Hannon Dental, P.l.l.c.
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Mar 23, 2022
Last Updated
Mar 23, 2022

Practice Location

Address
1421 WAYZATA BLVD STE 300
ZIP Code
55391-4109
Phone
(952) 473-1521

Authorized Official

Name
DR. CHARLES HANNON, DDS
Title
OWNER
Phone
(507) 254-7078

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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