MATTHEW DAVID HALLER

FORT WAYNE, IN
NPI1588849715
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12008792A)
Enumeration Date2008-01-07
Last Update Date2015-05-28
Business Address
Dr. MATTHEW DAVID HALLER D.M.D.
6822 COVINGTON CREEK TRL
FORT WAYNE, IN 46804-2872
Phone number: 260-417-2417
Mailing Address
Dr. MATTHEW DAVID HALLER D.M.D.
6822 COVINGTON CREEK TRL
FORT WAYNE, IN 46804-2872
Phone number: 260-417-2417