J.m. Hallie Inc.

NPI #1407557085 in Roseau, Minnesota

Provider Information

NPI Number
1407557085
Entity Type
Organization
Organization Name
J.m. Hallie Inc.
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 13, 2023
Last Updated
Mar 13, 2023

Practice Location

Address
201 4TH AVE NW
City
Roseau
ZIP Code
56751-1033
Phone
(218) 463-2553

Authorized Official

Name
DR. JON M HALLIE, DDS
Title
CEO
Phone
(218) 463-2553

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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