Individual
DR. BENJAMIN LARRY HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
401 JEWETT ST, MARSHALL, MN 56258-2605
(507) 532-3104
Mailing address
401 JEWETT ST, MARSHALL, MN 56258-2605
(507) 532-3104
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14872
MN
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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