Organization
M. D. HANSON, DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL D. HANSON DDS (OWNER/DENTIST)
(850) 785-7273
Entity
Organization
Contact information
Practice address
1328 W 23RD ST, PANAMA CITY, FL 32405-3638
(850) 785-7273
(850) 785-5399
Mailing address
1328 W 23RD ST, PANAMA CITY, FL 32405-3638
(850) 785-7273
(850) 785-5399
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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