Individual
DR. BRADLEY HALLIWILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2501 W PIERSON RD # UNITSB-D, FLINT, MI 48504-6802
(810) 789-5880
Mailing address
5939 MONTGOMERY DR, SHELBY TWP, MI 48316-4332
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901600366
MI
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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