Thomas M Hanson DDS PA

NPI #1871663831 in Buffalo, Minnesota

Provider Information

NPI Number: 1871663831
Entity Type: Organization
Organization Name: Thomas M Hanson DDS PA
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 8, 2006
Last Updated: Oct 8, 2008

Practice Location

Address: 1100 HIGHWAY 25 NORTH
Address 2: SUITE 1
City: Buffalo
State: Minnesota
ZIP Code: 55313
Phone: (763) 682-9796

Authorized Official

Name: DR. THOMAS MARK HANSON, DDS
Title: OWNER
Phone: (763) 682-9796

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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