Organization
MARK HALVORSEN, DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK HALVORSEN DMD (OWNER)
(508) 238-0126
Entity
Organization
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
DN19172
MA
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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