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1588849715
MATTHEW DAVID HALLER
FORT WAYNE, IN
NPI
1588849715
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: IN 12008792A)
Enumeration Date
2008-01-07
Last Update Date
2015-05-28
Business Address
DR. MATTHEW DAVID HALLER D.M.D.
6822 COVINGTON CREEK TRL
FORT WAYNE, IN 46804-2872
Phone number: 260-417-2417
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Mailing Address
DR. MATTHEW DAVID HALLER D.M.D.
6822 COVINGTON CREEK TRL
FORT WAYNE, IN 46804-2872
Phone number: 260-417-2417
Copy
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