Organization
CHILDLREN'S DENTAL CARE LLC
Active
Parent organization
CHILDREN'S DENTAL CARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN'S DENTAL CARE LLC
Authorized official
DR. GEORGE A HANKERSON DDS (DENTIST)
(952) 997-7100
Entity
Organization
Contact information
Practice address
17510 DODD BLVD, LAKEVILLE, MN 55044-5268
(952) 997-7100
(952) 997-2017
Mailing address
17510 DODD BLVD, LAKEVILLE, MN 55044-5268
(952) 997-7100
(952) 997-2017
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
11961
MN
1223P0221X
Pediatric Dentistry
Primary
7309
MN
Other
Enumeration date
06/02/2009
Last updated
06/11/2009
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