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Organization

THOMAS M HANSON DDS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS MARK HANSON DDS (OWNER)
(763) 682-9796
Entity
Organization

Contact information

Practice address
1100 HIGHWAY 25 NORTH, SUITE 1, BUFFALO, MN 55313
(763) 682-9796
(763) 682-4821
Mailing address
1100 HIGHWAY 25 NORTH, SUITE 1, BUFFALO, MN 55313
(763) 682-9796
(763) 682-4821

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10610
MN
1223G0001X
General Practice Dentistry
11192
MN

Other

Enumeration date
11/08/2006
Last updated
10/08/2008
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