| NPI | 1083630586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE A HANKERSON Dentist 952-997-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MN 5460717) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2009-05-29 |