Individual
JOHN JOSEPH HANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2730 FIVE MILE ROAD NE, SUITE 101, GRAND RAPIDS, MI 49525-6518
(616) 364-7039
(616) 364-6068
Mailing address
2730 FIVE MILE ROAD NE, SUITE 101, GRAND RAPIDS, MI 49525-6518
(616) 364-7039
(616) 364-6068
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11563
MI
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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