Individual
DR. CHARLES HANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1421 WAYZATA BLVD STE 300, WAYZATA, MN 55391-4109
(951) 473-1521
Mailing address
1421 WAYZATA BLVD STE 300, WAYZATA, MN 55391-4109
(952) 473-1521
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13658
MN
Other
Enumeration date
05/29/2016
Last updated
04/21/2022
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