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Hanover Dental Pllc
Dental Clinic/Center in Hanover, Minnesota
NPI 1487147260

Hanover Dental Pllc is a Dental Clinic/Center based in Buffalo, MN and is specialized in Dental. Hanover Dental Pllc practices in Hanover, MN. The NPI Number for Hanover Dental Pllc is 1487147260 and holds a License No. D13236 (Minnesota).

The current practice location address for Hanover Dental Pllc is 411 Labeaux Ave Ne, Hanover, MN and can be reached out via phone at 763-400-3005.

Location: 411 Labeaux Ave Ne, Hanover, MN, 55313-4456
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487147260
Provider Name
Hanover Dental Pllc
Credential
Provider Entity Type
Organization
Address
411 Labeaux Ave Ne, Hanover, MN, 55313-4456
Phone Number
763-400-3005
Fax Number
Provider Enumeration Date
06/07/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
411 Labeaux Ave Ne
City
Hanover
State
Minnesota
Zip
55341
Phone Number
763-400-3005
Fax Number
person
Provider Business Mailing Address Details
Address
411 Labeaux Ave Ne
City
Hanover
State
Minnesota
Zip
55341
Phone Number
763-400-3005
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
D13236 (Minnesota)
Definition
Definition to come...
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