Individual
HANNAH MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
10182 LANCASTER LN N, MAPLE GROVE, MN 55369-3562
(773) 384-3500
Mailing address
10182 LANCASTER LN N, MAPLE GROVE, MN 55369-3562
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019.033464
IL
1223G0001X
General Practice Dentistry
Primary
D14863
MN
Other
Enumeration date
03/23/2021
Last updated
06/02/2023
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