Individual provider · Type 1 NPI
Gary C. Hanna, DMD
Dental Clinic/Center · Galax, VA
NPI number
1700964806
Active
Practice location
1129 S Main St
Galax, VA 24333-4409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 0401006936 (VA) |
Dental Clinic/Center: Definition to come...
About NPI 1700964806
Gary C. Hanna, DMD's National Provider Identifier is 1700964806, issued on Nov 2, 2006. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Galax, VA. The record was last updated on Oct 30, 2007.