Individual
DR. MONTEZ DELVER HALLBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
434 SOUTHBRIDGE ST STE B, AUBURN, MA 01501-4423
(508) 752-6649
Mailing address
434 SOUTHBRIDGE ST STE B, AUBURN, MA 01501-4423
(508) 752-6649
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401419233
VA
Other
Enumeration date
06/25/2024
Last updated
11/19/2024
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