Individual
DR. NATHAN LEE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
403 1ST AVE E, SHAKOPEE, MN 55379-1439
(952) 445-5556
Mailing address
616 OAK ST W, STILLWATER, MN 55082-5624
(651) 329-5703
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14585
MN
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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