Organization
HANNON DENTAL, P.L.L.C.
Active
Other names
McGill Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES HANNON DDS (OWNER)
(507) 254-7078
Entity
Organization
Contact information
Practice address
1421 WAYZATA BLVD STE 300, WAYZATA, MN 55391-4109
(952) 473-1521
Mailing address
1421 WAYZATA BLVD STE 300, WAYZATA, MN 55391-4109
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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