Individual
DEVON HALBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1632 WASHINGTON ST NE, MINNEAPOLIS, MN 55413-1336
(612) 789-2853
(612) 767-3490
Mailing address
1632 WASHINGTON ST NE, MINNEAPOLIS, MN 55413-1336
(612) 789-2853
(612) 767-3490
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12783
MN
Other
Enumeration date
05/20/2010
Last updated
05/20/2010
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