| Halle Park Family Dentistry, P.c. | |
|
1108 Halle Park Cir Collierville TN 38017-7084 | |
| (901) 457-7753 | |
| Not Available |
| Full Name | Halle Park Family Dentistry, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1108 Halle Park Cir, Collierville, Tennessee |
| Authorized Official Name and Position | Ettienne Van Zyl (PRESIDENT) |
| Authorized Official Contact | 9014577753 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Halle Park Family Dentistry, P.c. 1090 Northchase Pkwy Se Ste 150 Marietta GA 30067-6405 Ph: (770) 916-5031 | Halle Park Family Dentistry, P.c. 1108 Halle Park Cir Collierville TN 38017-7084 Ph: (901) 457-7753 |
| NPI Number | 1003361130 |
|---|---|
| Provider Enumeration Date | 08/18/2016 |
| Last Update Date | 08/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003361130 | NPI | - | NPPES |
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