Individual
DR. MARK STAN HALVERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1179 COLUMBUS PIKE, STATE ROUTE 23, DELAWARE, OH 43015-2713
(740) 362-2202
(740) 362-2204
Mailing address
1179 COLUMBUS PIKE, STATE ROUTE 23, DELAWARE, OH 43015-2713
(740) 362-2202
(740) 362-2204
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22117
OH
Other
Enumeration date
03/12/2007
Last updated
04/13/2009
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