Individual
DR. DUSTIN ERIC HALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
7085 NOVA DR APT 318, DAVIE, FL 33317-8112
(305) 582-6255
Mailing address
7085 NOVA DR APT 318, DAVIE, FL 33317-8112
(305) 582-6255
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN19767
FL
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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