Individual
DR. KEVIN M HALLGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Contact information
Practice address
4019 W MAIN ST, SUITE 100, KALAMAZOO, MI 49006-2798
(269) 349-9684
Mailing address
4019 W MAIN ST, SUITE 100, KALAMAZOO, MI 49006-2798
(269) 349-9684
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901021451
MI
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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