| Halvorson & Hembrough D.d.s, .m.s., Pc | |
| 
					4355 Sawkaw Dr Ne Grand Rapids MI 49525-1768  | |
| (616) 361-6609 | |
| (616) 361-6248 | 
| Full Name | Halvorson & Hembrough D.d.s, .m.s., Pc | 
|---|---|
| Speciality | Dentist - Endodontics | 
| Location | 4355 Sawkaw Dr Ne, Grand Rapids, Michigan | 
| Authorized Official Name and Position | Katherine Klungle (OFFICE MANAGER) | 
| Authorized Official Contact | 6163616609 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Halvorson & Hembrough D.d.s, .m.s., Pc 4355 Sawkaw Dr Ne Grand Rapids MI 49525-1768 Ph: (616) 361-6609  | Halvorson & Hembrough D.d.s, .m.s., Pc 4355 Sawkaw Dr Ne Grand Rapids MI 49525-1768 Ph: (616) 361-6609  | 
| NPI Number | 1861419640 | 
|---|---|
| Provider Enumeration Date | 07/16/2006 | 
| Last Update Date | 10/05/2007 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1861419640 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary | 
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