Individual
DR. DAVID A HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2601 W MEQUON RD, MEQUON, WI 53092-3151
(262) 242-1180
(262) 242-0930
Mailing address
2601 W MEQUON RD, MEQUON, WI 53092-3151
(262) 242-1180
(262) 242-0930
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0776G
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0776G
STATE LICENSE NUMBER
WI
05
—
33551700
—
WI
Enumeration date
05/21/2007
Last updated
07/09/2007
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