Individual
REBECCA ANN HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
1411 W SAINT GERMAIN ST, SUITE 104, SAINT CLOUD, MN 56301-4121
(320) 255-1111
(320) 255-1602
Mailing address
1411 W SAINT GERMAIN ST, SUITE 104, SAINT CLOUD, MN 56301-4121
(320) 255-1111
(320) 255-1602
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11705
MN
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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