JOHN EDWARD HALVERSEN

ROCKFORD, IL
NPI1992919831
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
Enumeration Date2007-05-10
Last Update Date2007-07-08
Business Address
DR. JOHN EDWARD HALVERSEN D.D.S.
1110 S MULFORD RD
ROCKFORD, IL 61108-4213
Phone number: 815-397-2200
Mailing Address
DR. JOHN EDWARD HALVERSEN D.D.S.
1110 S MULFORD RD
ROCKFORD, IL 61108-4213
Phone number: 815-397-2200
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