Individual
DR. JEROME DENARY HALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7520 MONTGOMERY BLVD NE, BLDG C STE A, ALBUQUERQUE, NM 87109
(505) 889-3777
(505) 830-1027
Mailing address
7520 MONTGOMERY BLVD NE, BLDG C STE A, ALBUQUERQUE, NM 87109
(505) 889-3777
(505) 830-1027
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DD1200
NM
1223G0001X
General Practice Dentistry
Primary
DD1200
NM
Other
Enumeration date
09/28/2006
Last updated
11/11/2019
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