Organization
KURT M. HALUM, DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KURT M. HALUM DMD (DENTIST)
(219) 924-5437
Entity
Organization
Contact information
Practice address
2303 45TH ST, HIGHLAND, IN 46322-2602
(219) 924-5437
Mailing address
2303 45TH ST, HIGHLAND, IN 46322-2602
(219) 924-5437
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12009620
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12009620
INDIANA LICENSE
IN
Enumeration date
10/09/2007
Last updated
10/09/2007
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