Individual
MARK HALVORSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
25 BELMONT ST, SOUTH EASTON, MA 02375-1103
(508) 238-0126
(508) 238-9421
Mailing address
25 BELMONT ST, SOUTH EASTON, MA 02375-1103
(508) 238-0126
(508) 238-9421
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
19172
MA
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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