KEVIN R HALLSTROM

WILLMAR, MN
NPI1174676217
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MN  9069)
Enumeration Date2007-01-20
Last Update Date2007-07-08
Business Address
Dr. KEVIN R HALLSTROM DDS
512 BECKER AVE SW
WILLMAR, MN 56201-3232
Phone number: 320-235-2551
Mailing Address
Dr. KEVIN R HALLSTROM DDS
512 BECKER AVE SW
WILLMAR, MN 56201-3232
Phone number: 320-235-2551