Organization · Type 2 NPI
Hanover Dental PLLC
Dental Clinic/Center · Hanover, MN
NPI number
1487147260
Active
Practice location
411 Labeaux Ave NE
Hanover, MN 55341
Mailing address
1192 Bice Ave NW
Buffalo, MN 55313-4456
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | D13236 (MN) |
Dental Clinic/Center: Definition to come...
About NPI 1487147260
Hanover Dental PLLC's National Provider Identifier is 1487147260, issued on Jun 7, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Hanover, MN. The record was last updated on Jun 7, 2018.