Brian Haller Dmd LLC

NPI #1942452545 in Rolla, Missouri

Provider Information

NPI Number: 1942452545
Entity Type: Organization
Organization Name: Brian Haller Dmd LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 15, 2008
Last Updated: Oct 15, 2008

Practice Location

Address: 602 W 6TH ST
City: Rolla
State: Missouri
ZIP Code: 65401-2941
Phone: (573) 364-7969

Authorized Official

Name: BRIAN HALLER, DMD
Title: OWNER
Phone: (573) 364-7969

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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