Samantha Michelle Fonkert Hanson, DDS Valid NPI

Individual provider · Dentist · Brooklyn Park, MN

NPI

1528742137

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

D14917 (MN)

Sex

Female

Sole proprietor

No

Enumerated

2023-06-14

Last updated

2023-06-14