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Individual

DR. JUSTIN PARKES HANNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Contact information

Practice address
525 S NEW HOPE RD, GASTONIA, NC 28054-4040
(704) 865-8521
(704) 866-0780
Mailing address
525 S NEW HOPE RD, GASTONIA, NC 28054-4040
(704) 865-8521
(704) 866-0780

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9056
NC

Other

Enumeration date
08/04/2011
Last updated
08/04/2011
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