Individual
DR. LARRY HANUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2401 TOWNCREST LN, IOWA CITY, IA 52240-6630
(319) 512-5655
Mailing address
2401 TOWNCREST LN, IOWA CITY, IA 52240-6630
(319) 512-5655
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS-6435
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6435
STATE LICENSE
IA
Enumeration date
01/02/2020
Last updated
01/02/2020
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