Individual
DR. BRAD N HALLECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
307 W MAIN ST, BATTLE GROUND, WA 98604-4411
(360) 666-0100
(360) 841-7070
Mailing address
1008 BROADWAY ST, LONGVIEW, WA 98632-3829
(360) 423-7020
(360) 423-5325
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00008504
WA
Other
Enumeration date
11/20/2006
Last updated
09/28/2022
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