# HALVORSON & HEMBROUGH D.D.S, .M.S., PC

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

## Provider details

- **NPI number:** 1861419640
- **Authorized official:** MS. KATHERINE KLUNGLE (OFFICE MANAGER)
- **Authorized official phone:** (616) 361-6609

## Contact information

- **Practice address:** 4355 SAWKAW DR NE, GRAND RAPIDS, MI 49525-1768
- **Practice address phone:** (616) 361-6609
- **Practice address fax:** (616) 361-6248
- **Mailing address:** 4355 SAWKAW DR NE, GRAND RAPIDS, MI 49525-1768
- **Mailing address phone:** (616) 361-6609
- **Mailing address fax:** (616) 361-6248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 07/16/2006
- **Last updated:** 10/05/2007