Individual
DR. MATTHEW THOMAS HANOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2442 MOUNDS VIEW BOULEVARD, MOUNDS VIEW, MN 55112
(763) 316-5400
Mailing address
2625 MERIDIAN DR, ROBBINSDALE, MN 55422-3718
(218) 251-0128
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14229
MN
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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