Individual
CALVIN HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
69089 N MAIN ST, RICHMOND, MI 48062-1146
(586) 727-5898
Mailing address
2950 CRANBROOK RIDGE CT, OAKLAND, MI 48306-4711
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601023
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901601023
DENTAL LICENSE
MI
Enumeration date
06/21/2021
Last updated
06/21/2021
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