Individual
KORBIN HALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2600 TAYLER STREET, EDMOND, OK 73003
(405) 844-6333
Mailing address
3000 HORSE SHOE BND, EDMOND, OK 73034-9131
(405) 585-7274
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
T-7334
OK
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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