Individual
DR. EARL LEE HALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
2145 LOS GATOS ALMADEN RD, SAN JOSE, CA 95124
(408) 377-6050
(408) 377-6190
Mailing address
2145 LOS GATOS ALMADEN RD, SAN JOSE, CA 95124
(408) 377-6050
(408) 377-6190
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
10132
MI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
25532
CA
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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