Amanda Jane Hanson

NPI 1770816001 - Dental Hygienist - 124Q00000X

NPI Details
NPI 1770816001
Gender Female
Enumeration Date 09/18/2009
Last Updated 09/18/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
1789 WOODLANE DR
SUITE D
WOODBURY MN, 55125-3910, US
Phone (651) 738-1284
Fax
Business Location
1789 WOODLANE DR
SUITE D
WOODBURY MN, 55125-3910, US
Phone (651) 738-1284
Fax
Toxanomy
Taxonomy Code 124Q00000X
License State Minnesota
License Number H8340
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According to our database, Mrs. Amanda Jane Hanson NPI is 1770816001, taxonomy code is 124Q00000X and license number is H8340, license state is located at Minnesota. Amanda Jane Hanson physically located at 1789 Woodlane Dr, Woodbury MN, 55125-3910. NPI Number Amanda Jane Hanson has the Individual type.

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1770816001 NPI number is provided on an as is basis without warranty of any kind. 1770816001 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Jane Hanson are for informational purposes only.