LAURA K HANNON

PORTAGE, IN
NPI1609933928
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12007861A)
Enumeration Date2007-01-03
Last Update Date2007-07-08
Business Address
Dr. LAURA K HANNON d.d.s
6080 LUTE RD
PORTAGE, IN 46368-5008
Phone number: 219-763-6646
Mailing Address
Dr. LAURA K HANNON d.d.s
6080 LUTE RD
PORTAGE, IN 46368-5008
Phone number: 219-763-6646
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