Douglas William Hanneman, DDS

NPI #1922163948 in Vinton, Iowa

Provider Information

NPI Number: 1922163948
Entity Type: Individual
Name: Douglas William Hanneman, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Dec 27, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 118 EAST 4TH ST
City: Vinton
State: Iowa
ZIP Code: 52349-1757
Phone: (319) 472-5209

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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