Individual
DR. LAURA ELIZABETH HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
130 THOMPSON ST, ASHLAND, VA 23005-1526
(804) 798-2776
Mailing address
6104 WEST CLUB LN, RICHMOND, VA 23226
(804) 306-0073
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412718
VA
Other
Enumeration date
02/08/2010
Last updated
02/08/2010
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