BRIAN HALLER DMD LLC

ROLLA, MO
NPI1942452545
Entity TypeOrganization
Authorized ContactBRIAN HALLER
Owner
573-364-7969
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MO  013842)
Enumeration Date2008-10-15
Last Update Date2008-10-15
Business Address
BRIAN HALLER DMD LLC
602 W 6TH ST
ROLLA, MO 65401-2941
Phone number: 573-364-7969
Mailing Address
BRIAN HALLER DMD LLC
PO BOX 393
ROLLA, MO 65402-0393
Phone number: 573-364-7969