# GERALD D. HALBACH, D.D.S., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497858302
- **Authorized official:** DR. GERALD DAVID HALBACH D.D.S. (OWNER)
- **Authorized official phone:** (520) 292-0606

## Contact information

- **Practice address:** 4801 N 1ST AVE, TUCSON, AZ 85718-5612
- **Practice address phone:** (520) 292-0606
- **Mailing address:** 4801 NORTH FIRST AVENUE, TUCSON, AZ 85718-5612
- **Mailing address phone:** (520) 292-0606

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/06/2006
- **Last updated:** 09/19/2008