Individual
DR. NATHAN HALSTEAD
Active
Individual
DR. NATHAN HALSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D11615
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D11615
AOA
MN
Enumeration date
01/04/2007
Last updated
07/29/2015
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