| NPI | 1942436167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE A HANKERSON Dentist 952-997-7100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MN 7309) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: MN 11961) |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2009-06-11 |