Individual
RYAN C. HALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
6416 S ELM PL, BROKEN ARROW, OK 74011-4819
(918) 940-3244
Mailing address
13657 S 23RD ST, BIXBY, OK 74008-4179
(480) 567-4043
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
5920
AZ
1223G0001X
General Practice Dentistry
Primary
7804
OK
Other
Enumeration date
04/23/2007
Last updated
04/12/2024
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