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Organization
JAMES W HALLIDAY JR DMD LLC
Active
Organization
JAMES W HALLIDAY JR DMD LLC
Active
Other names
Cook Inlet Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES W HALLIDAY JR. DMD (DENTIST)
(907) 283-0454
Entity
Organization
Contact information
Practice address
908 HIGHLAND AVE STE 2, KENAI, AK 99611-8051
(907) 283-0454
(907) 283-0456
Mailing address
908 HIGHLAND AVE STE 1, KENAI, AK 99611-8051
(907) 283-0454
(907) 283-0456
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D1148
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DD9411
—
AK
Enumeration date
08/17/2010
Last updated
08/17/2010
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