Individual
DANIAL JOEL HANLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 W 12TH ST, IMPERIAL, NE 69033-3200
(308) 882-5123
(308) 882-5141
Mailing address
PO BOX 1408, IMPERIAL, NE 69033-1408
(308) 882-5123
(308) 882-5141
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7226
NE
1223G0001X
General Practice Dentistry
7226
NE
Other
Enumeration date
06/16/2015
Last updated
10/30/2023
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