| Brian Haller Dmd Llc | |
|
602 W 6th St Rolla MO 65401-2941 | |
| (573) 364-7969 | |
| Not Available |
| Full Name | Brian Haller Dmd Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 602 W 6th St, Rolla, Missouri |
| Authorized Official Name and Position | Brian Haller (OWNER) |
| Authorized Official Contact | 5733647969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Haller Dmd Llc Po Box 393 Rolla MO 65402-0393 Ph: (573) 364-7969 | Brian Haller Dmd Llc 602 W 6th St Rolla MO 65401-2941 Ph: (573) 364-7969 |
| NPI Number | 1942452545 |
|---|---|
| Provider Enumeration Date | 10/15/2008 |
| Last Update Date | 10/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942452545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 013842 (Missouri) | Primary |
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