Travis Hanel DDS

NPI 1942380563 - Dentist - 1223G0001X

NPI Details
NPI 1942380563
Gender Male
Enumeration Date 10/17/2006
Last Updated 02/01/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
205 W JOHNSON AVE
STE 3
WARREN MN, 56762-1118, US
Phone (218) 745-4601
Fax
Business Location
205 W JOHNSON AVE
STE. 3
WARREN MN, 56762-1118, US
Phone
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Minnesota
License Number D12024
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According to our database, Travis Hanel DDS NPI is 1942380563, taxonomy code is 1223G0001X and license number is D12024, license state is located at Minnesota. Travis Hanel DDS physically located at 205 W Johnson Ave, Warren MN, 56762-1118. NPI Number Travis Hanel DDS has the Individual type.

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1942380563 NPI number is provided on an as is basis without warranty of any kind. 1942380563 is maintained by the National Plan & Provider Enumeration System. The contents of Travis Hanel DDS are for informational purposes only.