Individual
DR. GARY M HALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
207 SOUTH GREEN RIVER ROAD, EVANSVILLE, IN 47715
(812) 476-3131
(812) 476-6621
Mailing address
207 SOUTH GREEN RIVER ROAD, EVANSVILLE, IN 47715
(812) 476-3131
(812) 476-6621
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7860
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100109450
—
IN
Enumeration date
08/03/2006
Last updated
12/17/2008
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