Individual
ROBERT PATRICK HANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4080 W BROADWAY AVE, ROBBINSDALE, MN 55422-5604
(763) 535-3511
(952) 545-1811
Mailing address
9212 HAMPSHIRE AVE N, BROOKLYN PARK, MN 55445-3245
(763) 424-3482
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8891
MN
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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