institution
James W Halliday Jr Dmd Llc
Dental Clinic/Center in Kenai, Alaska
NPI 1699080432

James W Halliday Jr Dmd Llc is a Dental Clinic/Center based in Kenai, AK and is specialized in Dental. James W Halliday Jr Dmd Llc practices in Kenai, AK. The NPI Number for James W Halliday Jr Dmd Llc is 1699080432 and holds a License No. D1148 (Alaska).

The current practice location address for James W Halliday Jr Dmd Llc is 908 Highland Ave Ste 2, Kenai, AK and can be reached out via phone at 907-283-0454 and via fax at 907-283-0456.

Location: 908 Highland Ave Ste 2, Kenai, AK, 99611-8051
institution
Provider Profile Details
NPI Number
1699080432
Provider Name
James W Halliday Jr Dmd Llc
Credential
Provider Entity Type
Organization
Address
908 Highland Ave Ste 2, Kenai, AK, 99611-8051
Phone Number
907-283-0454
Fax Number
907-283-0456
Provider Enumeration Date
08/17/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DD9411 05 AK
institution
Provider Business Practice Location Address Details
Address
908 Highland Ave Ste 2
City
State
Zip
99611-8051
Phone Number
907-283-0454
Fax Number
907-283-0456
person
Provider Business Mailing Address Details
Address
908 Highland Ave Ste 2
City
State
Zip
99611-8051
Phone Number
907-283-0454
Fax Number
907-283-0456
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
D1148 (Alaska)
Definition
Definition to come...
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