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Organization
RANDY HALIHAN FAMILY DENTISTRY
Active
Organization
RANDY HALIHAN FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY J HALIHAN D. O. (DENTIST/OWNER)
(815) 444-6444
Entity
Organization
Contact information
Practice address
149 N VIRGINIA ST, SUITE 100, CRYSTAL LAKE, IL 60014-3400
(815) 444-6444
(815) 444-6446
Mailing address
149 N VIRGINIA ST, SUITE 100, CRYSTAL LAKE, IL 60014-3400
(815) 444-6444
(815) 444-6446
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019024027
IL
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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