| Childlren's Dental Care Llc | |
|
17510 Dodd Blvd Lakeville MN 55044-5268 | |
| (952) 997-7100 | |
| (952) 997-2017 |
| Full Name | Childlren's Dental Care Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 17510 Dodd Blvd, Lakeville, Minnesota |
| Authorized Official Name and Position | George A Hankerson (DENTIST) |
| Authorized Official Contact | 9529977100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Childlren's Dental Care Llc 17510 Dodd Blvd Lakeville MN 55044-5268 Ph: (952) 997-7100 | Childlren's Dental Care Llc 17510 Dodd Blvd Lakeville MN 55044-5268 Ph: (952) 997-7100 |
| NPI Number | 1942436167 |
|---|---|
| Provider Enumeration Date | 06/02/2009 |
| Last Update Date | 06/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942436167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 7309 (Minnesota) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | 11961 (Minnesota) | Secondary |
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