| Thomas M Hanson Dds Pa | |
|
1100 Highway 25 North Suite 1 Buffalo MN 55313 | |
| (763) 682-9796 | |
| (763) 682-4821 |
| Full Name | Thomas M Hanson Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1100 Highway 25 North, Buffalo, Minnesota |
| Authorized Official Name and Position | Thomas Mark Hanson (OWNER) |
| Authorized Official Contact | 7636829796 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas M Hanson Dds Pa 1100 Highway 25 North Suite 1 Buffalo MN 55313 Ph: (763) 682-9796 | Thomas M Hanson Dds Pa 1100 Highway 25 North Suite 1 Buffalo MN 55313 Ph: (763) 682-9796 |
| NPI Number | 1871663831 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 10/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871663831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 11192 (Minnesota) | Secondary |
| 1223G0001X | Dentist - General Practice | 10610 (Minnesota) | Primary |
News Archive
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