Individual
DR. HALLY J. BACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
600 4TH ST NE, SUITE 200, WATERTOWN, SD 57201-1898
(605) 882-0747
(605) 882-2196
Mailing address
600 4TH ST NE, SUITE 200, WATERTOWN, SD 57201-1898
(605) 882-0747
(605) 882-2196
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
937
SD
Other
Enumeration date
11/10/2005
Last updated
04/14/2011
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