Mimi M. Halleck, D.D.S.

NPI #1992780068 in Glen Allen, Virginia

Provider Information

NPI Number: 1992780068
Entity Type: Individual
Name: Mimi M. Halleck, D.D.S.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Dec 13, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 4424 SPRINGFIELD RD
Address 2: SUITE 100
City: Glen Allen
State: Virginia
ZIP Code: 23060-3412
Phone: (804) 270-5353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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