Organization
SCOTT C. HALLSTED, D.D.S., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT C HALLSTED D.D.S. (PRESIDENT)
(650) 343-1104
Entity
Organization
Contact information
Practice address
500 PRIMROSE ROAD, BURLINGAME, CA 94010-4088
(650) 343-1104
(650) 343-0772
Mailing address
500 PRIMROSE ROAD, BURLINGAME, CA 94010-4088
(650) 343-1104
(650) 343-0772
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
23190
CA
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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