Organization
J.M. HALLIE INC.
Active
Other names
Hallie Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON M HALLIE DDS (CEO)
(218) 463-2553
Entity
Organization
Contact information
Practice address
201 4TH AVE NW, ROSEAU, MN 56751-1033
(218) 463-2553
(218) 463-9464
Mailing address
201 4TH AVE NW, ROSEAU, MN 56751-1033
(218) 463-2553
(218) 463-9464
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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